International Dealer Application

Thanks for your interest in becoming a dealer! For information regarding our dealer products, packaging and pricing tiers, please review our Dealer Information page.

Once we have approved your application, we will issue your company a dealer number with which you can use to place your order via our online Dealer Order form.

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)

Website (If applicable)

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 order of 10 KeyBars
Payment due at time of order or Net 30 with approved credit account
Must adhere to MAP terms
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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