Independent Reseller Information & Registration

If you would like to carry the supercollar®...

we want to know more about you. Please register below. Once we review your information and verify you are a reseller, you will have
access to our Store Owners' purchase page.

We provide a supercollar® Tool Kit to our retailers. The supercollar® Tool Kit comes chock full of videos, graphics, and information to
help you sell the supercollar®.


 

   
First Name:
Last Name:
Job Title:
Phone Number:
Fax:
Web Address:
E-mail:
Mailing Address:
City:
State:
Zip / Postal Code:
Country:
Date Established:
Resale / Tax ID#
Number of Stores:
How did you hear about us?:
   
Shipping Information
Same as Mailing Information
Shipping Address:
Shipping City:
Shipping State:
Shipping Zip:
Shipping Country:
   
Please create your login password to place orders and manage your account.
   
Password:
Verify Password: