NITE IZE DISTRIBUTOR PROGRAM APPLICATION

To become an approved distributor of Nite Ize goods, please provide us with the following information.

First Name*

Last Name*

Legal Business Name*

DBA Business Name

Email*

Phone#*

Full Billing Address*

Street address plus city, state, and zip

Full Shipping Address*

Street address plus city, state, and zip

Tax ID/EIN

Do you sell product in physical locations?*

(Physical locations are defined as stand-alone retail storefronts, stores within a mall or permanent kiosks)

Yes

Channel of Trade*

Select

Do you also sell product direct to Consumers?*

Yes

Do you maintain stock on hand and fulfill all orders?*

(NI does not dropship to end customer)

Yes

Do you sell on online marketplaces?*

(such as Amazon, Ebay, Alibaba, Etsy, NewEgg, Wal-mart, Jet or other similar websites)

Yes

If yes, provide links directly to your storefront/product listing for each online marketplace on which you sell, separated by commas.

(The link must go to your storefront, not the platform home page)

Do you currently sell Nite Ize products?*

Yes

Are you a current Nite Ize customer?*

Yes

If so, who is your sales rep?

Nite Ize Minimum Advertised Price (“MAP”) Policy

Nite Ize has updated its unilateral MAP policy to provide further protection to its network of authorized Distributors to ensure each can continue to deliver the best customer experience without destructive price-based advertising. Please download and review the Nite Ize MAP Policy here: http://www.niteize.com/MAP-Policy.

Please Click Here To Confirm You've read our MAP Policy.

I Have Read and Understand the MAP Policy*

Distributor Agreement

To become an Authorized Distributor of Nite Ize products, you must review review and agree to the Distributor Agreement. Please download and review the Distributor Agreement here: http://www.niteize.com/distributor-agreement.

By checking the following box, you confirm that: you have read the Distributor Agreement; you understand its terms and conditions; you agree to be bound by such terms and conditions; and, you have the authority to bind the customer named above.

I Agree*

UPON SUBMISSION, A NITE IZE REPRESENTATIVE WILL CONTACT YOU AND LET YOU KNOW WHETHER YOU'VE BEEN APPROVED (INCLUDING APPROVAL FOR ANY WEBSITES SUBMITTED ABOVE).

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