Reseller Request Form

Thank you for expressing interest in our products. We are dedicated to providing quality products for home decor and gift ideas.   In order to establish a reseller account with us, please fill out the form below. All fields are required. Should you have any questions, please contact us at 1-888-346-9544 ext 1. We look forward to partnering with you.

    Account Billing Details


    Contact Information


    Shipping Details

    Is your ship to address different than above? If yes, please fill out below informationYesNo


    YesNo


    LTLSmall ParcelNone


    Loading DockRequires Lift GateNot Applicable


    Once selected, please click on the form as indicated, complete it, and attach below.
    [radio* Terms default:1 "Net 30 (Fill out Credit Application Form below)" "Credit Card (Fill out Credit Card Authorization Form below)"]

     
     
    If you do not have a form, one can be found here.  

    By clicking submit, you have read and understand the terms set forth in our Reseller Agreement which can be found here.
    You also agree to receive future communication from Infinitiy Instruments, Ltd.