Heroclip Reseller Application
Please complete the form below to begin the reseller application process. Our sales director will reach out to you personally after completion. Please contact us if you have any issues completing the form below at: info@myheroclip.com
Email address *
Legal Company Name (as submitted for tax purposes) *
Your answer
DBA (name under which business is conducted)
Your answer
Main Street Address
Your answer
Website *
Your answer
Main Telephone Number *
Your answer
State or Country of Incorporation
Your answer
Reseller Number / Tax ID *
Your answer
Link to image of reseller certificate
Your answer
Type of Business (select all that apply) *
Required
How many years have you been in business?
Your answer
Do you wish to sell Heroclip Products outside the US? Note: this requires explicit written permission from Heroclip. *
If you answered yes to the previous question: In which geographies?
Your answer
Do wish to sell online through your own store? Note: this requires explicit written permission from Heroclip. *
If you answered yes to the above question: List the URLs for all the online stores where you would like to sell Heroclip.
Your answer
Please describe the location(s) of your stores (if applicable)
Your answer
Do you wish to sell Heroclip on Amazon (retail), Amazon (marketplace), or any other third party marketplace? Note: this requires explicit written permission from Heroclip. *
If you answered yes to the above question please list all URLs.
Your answer
Do you wish to bid on Heroclip Authorized Marks (e.g. "Heroclip") in any keyword advertising or to include Authorized Marks in online store URLs? Note: this requires explicit written permission from Heroclip. *
If you answered yes to the above question please list all URLs.
Your answer
List the top three accessory brands you currently carry. *
Your answer
Follow this link to view the Heroclip® Authorized MAP Policy: http://drives.news/pdf56 *
Required
Follow this link to view the Heroclip® Authorized Reseller Terms & Conditions: http://drives.news/reseller9 *
Required
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