NEW BUYER APPLICATION
Reverse Logistics USA
Legal Business Name *
First & Last Name *
Address Line 1 *
Address Line 2
City *
State/Province *
Zip Code *
Country *
Website/URL
Office Phone *
Mobile Phone *
WhatsApp Number
Email address *
Type of Business *
Required
If you Selected yes for E-commerce, please select the below
Where is your customer base? *
Required
Structure *
Required
Are you R2 Certified? *
Required
Fed Tax ID *
Have you been in contact with someone in Reverse Logistics USA in the past 3 years? *
Required
If you selected Yes, Please provide their Name below
Please describe which product line you are most most interested in *
How did you hear about us? *
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