Reseller Application

Reseller Application
Business Name*
FEIN #*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Type*

Wholesale Dry GoodsRetailRetail (Multi-Unit)Online SalesWholesale LivestockOther
If Multi-Unit Retail, How Many Stores?
Buyer Contact*

First NameLast Name
Accounting Contact*

First NameLast Name
Business Phone*

Country CodeArea CodePhone Number
Accounting Email*
example@example.com
Fax (if applicable)

Country CodeArea CodePhone Number
Buyer Email*
example@example.com
Territory of Sales*
What markets will you be selling to?
Business Website
Buyer Mobile Phone

Country CodeArea CodePhone Number
New Life International would like contact you via phone, email and/or text message regarding your account. This will include routine communications every two weeks (after initial setup as well as communications regarding your order. Texts will generally be a simple follow-up to emails.

Please confirm your agreement for each means of communication
Consent to Contact

PhoneEmailText Msg

Same address as billing?

Same
Shipping Contact*

First NameLast Name
Shipping Phone*

Country CodeArea CodePhone Number
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Licensing Documentation

Browse Files
Please upload a copy of your business license, authorization of sale or other documentation of your status as an eligible reseller. If you do not wish to upload your documents at this time, we will be in contact with you to arrange alternate means of obtaining the documents. However, this extra step will likely result in a delay of application approval. Cancelof
Business References: Company Name, Phone, Email
List four manufacturers you purchase from or four stores to whom you sell
Business References: Company Name, Phone, Email
List four manufacturers you purchase from or four stores to whom you sell
Business References: Company Name, Phone, Email
List four manufacturers you purchase from or four stores to whom you sell
Business References: Company Name, Phone, Email
List four manufacturers you purchase from or four stores to whom you sell

I understand that New Life International requires resellers to not sell the product below the consumer MAP (Minimum Retail Price) provided by the company and to instruct end sellers (if applicable) to follow the same pricing and agree to do so.*

Yes
I understand that repackaging of New Life Spectrum® product is strictly prohibited*

Yes
I understand and allow New Life International to make inquiries regarding my business history as part of an application for distribution rights*

Yes
I acknowledge that for international exports we do not provide customs clearing documents and that it is my responsibility to arrange for customs clearance in my country*

Yes
Should be Empty: