If you are a retailer interested in carrying our products in your store we would love to hear from you. Please fill out the application form below. After you have submitted the form, fax a copy of your registered Tax ID# and/or Resale# to us at 317.722.9448. We will then fax you a price list and order form.

Please be sure to review our Terms and Conditions.

Buyer Name                  Company Name

Address                        City                               State

Zip Code

Daytime Phone #           Fax #

Email                             Website

Tax ID # or Resale #

Accounts Payable Contact Info (Optional)

Type of Business 

How you heard about us