Dealer Account Application Form

Company Name*

Owners Name*

Company Physical/Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Physical same as Billing Address

Company Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Company Phone*

Area CodePhone Number

Company Fax

Area CodePhone Number

Company Website

Federal ID # (EIN)*

Sales Tax ID #*

Upload

Primary Contact Name*

Primary Contact Title*

Primary Contact Phone*

Area CodePhone Number

Extension

Primary Contact Email*

Accounts Payable Contact *

Accounts Payable Phone *

Area CodePhone Number

Extension

Accounts Payable Email*

Select all that apply to your business *

I have a storefrontI intend to sell these products at gun showsI have an ecommerce websiteI intend to sell these products on a third party ecommerce website *Selling on 3rd party sites (Amazon, eBay, Alibaba, etc.), dropship accounts (Buy.com, Newegg.com, Overstock.com, etc.), classified sites (Craigslist.com, Facebook Marketplace, etc.) or direct messages on forums is strictly prohibited by GSS.Other