Oh, Canada! Canadian orders are no problem. Just call to get a shipping quote and place your order!

Dealer/Installer Application

We’re excited to grow our family of Dealers and Installers! To apply for wholesale dealer pricing, please complete the following application.

    Business Name

    Contact Information

    Address

    Billing Address (required)


    Line 2

    Shipping Address (if different from Billing address)


    Line 2

    Business Information

    Tax Status

    Tax ID number and state tax certificates are only required if requesting sales tax exemption.

    Business Principals: Names of Officers or Owners

    Principal 1

    Principal 2 (if applicable)

    Principal 3 (if applicable)

    References

    Trade/Credit Reference 1

    Trade/Credit Reference 2

    Trade/Credit Reference 3

    Bank Reference

    Primary Bank

    Authorization

    By submitting this application, you affirm that you are authorized to act on behalf of the business listed above. Furthermore, you agree to allow Backer Wencel, Inc., the corporate owner of SnirtStopper.com, to contact and request information pertaining to the above listed business from the references submitted insofar as it pertains to your SnirtStopper.com dealer account status.

    Submitting this application is no guarantee of obtaining Dealer or Installer status or special pricing.

    As seen on