Xtreme Cabinet Mat Wholesale Application
For Distributors or Multi Family Housing buyers
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IMPORTANT: We do not allow any dealer/wholesale purchaser to resell our mats on AMAZON, EBAY or WALMART and we enforce iMAP (Internet Minimum Advertised Pricing). Listings on Amazon, Ebay, etc are managed by us to protect image and listing information integrity. If your request is approved, your wholesale agreement form will come via a secure DocuSign document which will require your digital signature. *We do NOT dropship* If you are located in an area where we are required to collect sales tax, you will also need to send a copy of your resale certificate. Digital marketing material will be provided upon request for social media and websites. *
Email address for Wholesale Agreement *
Company Name & DBA if applicable (Please Include the name on your resale certificate if different than your operating name) For Apartments, please include parent company. *
Website, Facebook/Instagram Page
Contact name *
Phone number *
Billing Address (ex: 1234 Main St, Anywhere, State, Zip) Please include your complete address. *
Accounting Contact Name *
Accounting Contact Email *
What industry are you in? If you plan to be a distributor, how will you sell Xtreme Mats? We do not dropship. *
Required
Are you interested in our water sensors?
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What volume of mats do you anticipate per month? (Explain) *
If you plan on ordering bulk quantities requiring freight shipments (160+), how do you handle pallet deliveries? (check all that apply or describe your arrangement in the other box) *
Required
How did you hear about us? *
Payment method *
Delivery Address (ex: 1234 Main St, Anywhere, FL, Zip) Please Include COMPLETE address *
Name of Xtreme Mats Representative (if someone told you about Xtreme Mats)
 *
Do you have a resale certificate? (for resellers) *
Please upload your resale certificate(s). (Please upload your reseller/tax exempt certificate not your business license. A business license is a type of registration certificate and most businesses a required to have one but a reseller's permit/certificate allows certain business to purchase certain items free of sales tax.)
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