BG - New Dealer Application

Wholesale Application

Thank you for your interest in carrying BatterGrip in your store! Please fill out the application below & submit. We will contact you within 48 hours. Feel free to reach out at sales@battergrip.com
Name of Business*

Legal NameDBA or AKA
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this a Residential Address?

YesNo
Phone Number*
E-mail*
example@example.com
Primary Contact

First NameLast Name
What Type of Business are you?

Retail StoreE-CommerceSports FacilityOther
Are you working through a BatterGrip Rep?*

YesNo
Notes / Anything else we should know about your business?
Terms & Conditions: All information collected is confidential. No payment information is kept on file, all orders are able to be paid online through our secure site.
Should be Empty: