Dealer Application – GearShade

This profile will allow you to login and purchase products directly from our site, and automatically apply your dealer discount.

Dealer Profile
Billing
Company Name*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Shipping
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Select your profile username and password below:
Username
Password
Enter Password Confirm Password
Company Info
Website*
Social Media Pages
How Long Have you Been in Business?*
Number of locations
Hours of Operation
State Tax ID#
Fed Tax ID#
How Did You Learn About GearShade?
Notes
Consent*
I agree
I understand this is only an application and does not constitute any binding agreement. And this application will be reviewed before any decision is made as to the acceptance of any dealer agreement.
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