Air Venturi New Vendor Sign-up

Company Name (*)

Trade Name

Address (*)

City (*)

State (*)

Zip Code (*)

Phone (*)

Contact Name (*)

Contact Email (*)

Please tell us about your outlets
Physical Store FrontI sell by catalogI trade on Ebay or AmazonI have a website
Will we be drop shipping directly to your customers or will you be a stocking dealer?

Please tell us about which products you are interested and why.

We get a large number of requests for trade accounts. Please tell us a little more about your business and why you feel we should grant you a wholesale account.

How did you hear about us? (If contacted by a rep, list rep name)