BECOME A DEALER | ALPINE CORPORATION

Owner Information

First Name

Last Name

Phone Number

Fax

Address Information

Street Address

City

State/Province

Zip/Postal Code

Country

Company

Company Name

DBA (Doing Business As)

Company Website

Resale License / Tax ID Number

Point of Contact - Full Name

Company Email

Company Phone / Ext.

Company Mobile

Company Fax

Billing Information

Invoices Email

Creditmemos Email

Statements Email

Shipping Information

Ship Via

Shipping Account

Special Shipping (Select all that apply)

Account Payable Information

Name

Phone / Ext.

Fax

Buyer Information

Name

Phone / Ext.

Fax

Account Information

What type of account are you applying for:

Do you sell on Amazon.com?

Do you sell on Walmart.com?

Do you advertise on Google?

Number of years or months in business?

What is your business structure (e.g., sole proprietorship, partnership, corporation)?

Do you have a physical storefront, or is your business entirely online?

What types of products do you sell?

What is your average monthly sales revenue?

How do you handle customer transactions and payments?

How do you handle order fulfillment and shipping?

How do you handle customer inquiries, complaints, and returns?

What kind of return period do you offer your customers if any?

Comments

Comments or Additional Information

Password

Password Strength: No Password

Confirm Password