Amazon Reseller Application

APPLICATION TO BECOME A FLITZ®

AUTHORIZED ONLINE RESELLER

Thank you for your interest in becoming a Flitz Authorized Online Reseller. Authorized Online Resellers are permitted to sell certain Flitz products on approved online marketplaces. To become an Authorized Online Reseller please complete the below application and review the attached agreement. We will promptly review your application, and you will be notified in writing if you have been approved. Thank you!

NOTE: This is only an application, and you shall not be deemed an Authorized Online Reseller unless and until Flitz has approved your application and you have executed an Authorized Online Reseller Agreement.

Applicant Information
Company (legal name)
DBA’s or Tradenames
Flitz Account Name (if current customer):
Flitz Account Number (if current customer):
Marketplace(s) you wish to apply for (Check all that apply)	Amazon eBay Walmart Home Depot Others	☐ ☐ ☐ ☐ ________
Corporate Address:	Telephone:
	Email:
	Website:
eCommerce Storefront Name(s)
Contact Name & Title/Role:
Contact Email:
If applicable, please list all current distributors from whom you purchase Flitz products:

If approved, you will be required to execute the Authorized Online Reseller Agreement attached hereto as Exhibit A. If you fail to execute such agreement, your application will be deemed denied in all respects. Additionally, you will be asked to comply with Flitz’s Minimum Advertised Price Policy.

I REPRESENT THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE:

Applicant Representative:

Print Name Signature Dat

The undersigned hereby confirms receipt of the application from the applicant identified above, and after review, such application has been approved/denied as set forth below:

Amazon:Approved☐ Denied ☐

eBay:Approved☐ Denied ☐

Walmart:Approved☐ Denied ☐

Home Depot:Approved☐ Denied ☐

Other:_______Approved☐ Denied ☐

Flitz Representative:

_________________________________________________________________________________

Printed Name Signature Date