Reseller Form

Have a virtual (web-based) or physical retail store and would like to carry Pocket Radar products? Pocket Radar, Inc. welcomes you to join our growing family of resellers and dealers. By becoming an approved Pocket Radar reseller, you will be eligible to acquire our products at wholesale pricing without paying sales tax if the products are for resale.

Any questions? Contact us at Orders@PocketRadar.com or call 707-544-6096

Company Name
(Enter legal business name. If using a dba enter both. Example: Smith Enterprises (legal name) dba Smith Baseball Supplies.)

*

Contact Name

First Last

Contact Title *

Email Address *

Phone *

+1

Company Website *

Ship to Address (cannot use a PO Box):

Address Line 1 Address Line 2 City State/Region/Province Postal / Zip Code

Country

Is your billing address different from your shipping address?

Bill to Address

Address Line 1 Address Line 2 City State/Region/Province Postal / Zip Code

Country

Employer Identification Number (EIN) (aka, Federal Tax Identification Number)

*

*Required for US Resellers Only

Name of training facility *

Number of Physical Retail Storefronts *

Countries shipped to outside the US *

What are the primary products/services your company offers? *

What primary market does your company target? *

How do you plan to market/promote Pocket Radar products? *

Questions/Comments

Optional

Reseller Application Form

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Form Summary

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