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