1) Contact Information

How do we reach you?

Name *

Email *

Phone *

Preferred Contact Method

I'm a... *

Prefer to Purchase *

Please specify *

How did you hear about us?

If you were referred by a GEAR AID representative, please provide their name:

2) Business Information

Help us get to know your business.

Business Name *

Website *

Must include full URL (https://)

Business Type *

How many retail store locations? *

On which websites will you be selling Gear Aid products *

How many retail stores? *

Please describe *

Website URL *

Industry *

If Other Industry, please describe. *

How do you see Gear Aid products fitting into your business?

Services *

Resale
Production / Manufacturing
Add-On / Inclusionary
Warranty / Service

Check all that apply

Which GEAR AID products are you interested in? *

Estimated Annual Volume [Production / Manufacturing] *

Estimated Annual Volume [Add-on / Inclusionary] *

Estimated Annual Volume [Warranty/Service] *

3) Additional Contacts

Lead Buyer Name *

Lead Buyer Phone *

Please include country code if outside the US

Lead Buyer Email *

Email address for PO Confirmation *

4) Accounts Payable

Who can we talk to regarding invoicing? *

Accounts Payable Contact Name *

Accounts Payable Contact Phone *

Please include country code if outside the US

Accounts Payable Contact Email *

Email address for automated invoices *

5) Billing & Shipping

Billing Address

Address Line 1 *

Street address, PO box, company name, etc.

Address Line 2

Apartment, suite, unit, building, floor, etc.

City *

State / Province / Region *

Postal Code *

Country *

Shipping Address

Please select *

Shipping is the same as Billing
Different Shipping Address

Address Line 1 *

Street address, PO box, company name, etc.

Address Line 2

Apartment, suite, unit, building, floor, etc.

City *

State / Province / Region *

Postal Code *

Country *

Additional Comments

6) Reseller Permit /Sales Tax Exemption Certificate

GEAR AID does not charge sales tax on wholesale purchases. In compliance with Washington State sales and use tax laws, a copy of your state issued current Resale/Reseller’s Certificate or Sales Tax Exemption Certificate is required prior to us establishing a wholesale account for your business. A tax certificate is not required for businesses shipping to AK, DE, MT, NH, OR or Overseas Associated States. Please do not attach a Business License or W9 as these do not meet the requirement. Please contact us at salesorders@gearaid.com if you have any questions about the documentation required.

Allowed files: jpg, jpeg, png, pdf

1) Contact Information

2) Business Information

How do you see Gear Aid products fitting into your business?

3) Additional Contacts

4) Accounts Payable

5) Billing & Shipping

Shipping Address

6) Reseller Permit /Sales Tax Exemption Certificate

Thanks for your submission!

Thanks for your submission!

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