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)

Town / City (required)

State (required)

Zip (required)

Country (required)

Step 5 Terms & Conditions

Minimum 12 month expenditure of $1,000 to retain dealer status
Payment due at time of order or Net 30 with approved credit account
Must adhere to MAP terms
Must not sell on Amazon.com

I agree to the above terms and conditions and acknowledge that failure to comply may result in removal of dealer status.

Step 6 Additional Comments

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