Become A Distributor

With the completion of this form, if your company has a vendor agreement of any kind regarding any fees, packaging requirements, or any other requirements that Truckify should be aware of, you are required to send the form to us for our review before you can become a distributor of our products. Send the form to cremus@truckifyusa.com.

First Name *

Last Name *

Phone Number *

Extension

Email *

Job Title in Company *

Legal Business Name *

DBA

Street Address Line 1 *

Street Address Line 2

City *

State *

Zip *

Country *

Main Business Phone *

Tax ID Number *

Purchasing Contact 1 First Name *

Purchasing Contact Last Name *

Phone Number *

Extension

Email *

Purchasing Contact 2 First Name

Purchasing Contact 2 Last Name

Phone Number

Extension

Billing Email *

Type Of Business

Dealership

Installer

Other

Years In Business *

Why are you interested in reselling our products? *

Which Do You Intend To Do *

Dropship Our Products

Stock Our Products

Install Our Products

Projected Monthly Purchases *

Are You Tax Exempt? *

Yes

Sales Tax Exempt Certificate

Other Notes

Subject *

Submit