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:
Legal Company Name (as submitted for tax purposes)
DBA (Name of which business is conducted)
Main Telephone Number
State or Country of Incorporation
Please provide an image of your resale certificate (US resellers Only)
Type of Business (Check all that apply)
1 Retail Store
2-5 Retail Store
6-20 Retail Store
> 20 Retail Store
Promotional of Incentive Distributor
Do you plan to sell HEROCLIP products on marketplace site (including, but not limited to
Do you plan to sell HEROCLIP Products outside the US?
If you answered yes to the previous questions, where do you plan on selling Heroclips?
Please describe the location of your stores (if applicable)
Please list all of your online stores
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of HEROCLIP. -
Terms of Service