Dealer Application

Thanks for your interest in becoming a dealer! Once we have approved your application, you will receive the pricing information as well as a dealer number which you will need when placing an order.

For questions, email jess@keybar.us. Thank you!

Step 1 Contact & Company Information

First and Last Name (required)

Company (required)

Your Email (required)

Your Phone (required)

DBA Name (If different than Company Name listed above)

Federal Tax ID Number

Website

Business Type:Storefront OnlyOnline Store OnlyStorefront and Online Store

Step 2 Payment Method

Payment Method:Pre-Payment by CheckPre-Payment by Credit CardNet 30 Credit Account

Credit References (Complete only if payment method requested is Net 30 Credit Account)

Credit Reference Company 1

Credit Reference Contact

Credit Reference Contact Email

Credit Reference Company 2

Credit Reference Contact

Credit Reference Contact Email

Step 3 Billing Information

Billing Contact First and Last Name (required)

Billing Contact Email (required)

Billing Address (required)

Town / City (required)

State (required)

Zip (required)

Country (required)

Step 4 Shipping Address

Shipping Address (required)