Become a Dealer

Company Contact Name *
Company Contact Name
Company Shipping Address *
Company Shipping Address
If yes, then please input the billing address below. Otherwise, please leave blank
Billing Address
Billing Address
Company Phone *
Company Phone
Fax
Fax
http://
Copy and paste all website/marketplace names and URLS below (Amazon, Ebay, etc.):
Please check all applicable channels the company currently sells in: *
Check the companies for which you are currently an authorized dealer: *
You must be a authorized dealer to purchase these products from Alpine Tackle
Please check the applicable businesses the company currently has accounts with: *
If the company does not have credit, then please select prepay. Net 30 Terms will not be issued to business without supplied credit references and without a credit check.
Terms *
By checking the box below, I hereby agree that I am purchasing items ONLY for resale and will collect all sales tax applicable to state, city and local laws. I also acknowledge that Alpine Tackle does not and will not Drop Shop, ship to Amazon FBA or ship any orders to customers on your behalf. Alpine Tackle will only ship to retailers and business reselling and stocking merchandise in their stores. By checking the below box, the applicant's electronic signature attest that information submitted is true and correct, agrees to financial responsibility and agreement to pay our invoices in accordance with the Terms & Conditions laid out in our product catalog, agrees to update financial information on an annual basis, agrees to pay interest on payments past due at the rate of eighteen (18) percent per annum (1.5% per month), agrees to pay Alpine Tackle LLC all related collection costs including attorney fees and court costs on invoices not paid within the terms. Alpine Tackle LLC reserves the right to modify Terms & Conditions at any time. Applicant hereby authorizes Alpine Tackle Supply LLC to contact bank and trade creditors both at the time of initial application and from time to time to maintain accurate credit info. I, personally, will guarantee payment for charges made as a result credit application should payment not be made in accordance with the Terms & Conditions of sale. This shall be an open and continuing guarantee unless revoked by written notice, sent certified mail return receipt requested.