New Customer Application for Wholesale Purchasing

If you are a retailer and would like to start carrying some of our products in your store, please fill out the form below.  Once approved, we will contact you by email or phone.  Happy fishing!

Application

"*" indicates required fields

User Account Information

Your Name*
Will be used as your username.

Company Information

Address*
Accepted file types: jpg, png, pdf, Max. file size: 2 GB.
Please upload your current Retail Sales Tax Certificate.

Shipping Details

Shipping Address*

List Three References

Please list 3 references with their contact information, including address, phone number,and email address if available (Your application will not be processed if this information is incomplete.)
References*
Company Name
Contact Name
Email
Phone
Street Address
City
State
Zip
 
Click the plus symbol to the right end of the first row to additional reference row.

Accounts Payable Information

Accounts Payable Name*

Buyer Contact Information

Buyer Name*

Principal Contact Information

Principal Name*
This field is for validation purposes and should be left unchanged.