Online Business Application

"*" indicates required fields

Business Name*

Owner's Name*

Contact's Name at Store*

Business Address

Street Address Address Line 2 City State ZIP Code

Main Phone*

Fax

Email*

Website*

Years in Business*

Years at Present Location*

Purchases intended for resale?*

Type of Business*

How did you hear about us?*

If you spoke with a sales rep, please let us know which one

Sales Tax I.D. (also referred to as a Re-seller’s Tax I.D.#)*

Please provide a copy of your Tax Exemption Certificate. This is provided by the state your business resides. We are wholesale to the trade only and unable to establish any business relationship until we have a Tax Exemption Certificate or Resale Certificate is provided to us. Expired certificates without renewal receipt will be rejected.

Preferred Method of Payment*

If you choose Credit Card option, Apet, Inc. will contact you to securely obtain your credit card information. Otherwise, please list two business related references. Once your references have been verified you will be notified of payment terms.

Credit Card Information

Apet, Inc. will contact you to securely obtain your credit card information.

Payment Information

Please list two business related references. Once your references have been verified you will be notified of payment terms.

Name/Company Name 1*

Name/Company Name 2*

Phone Number 1*

Phone Number 2*

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