Become A Retailer

Online Application

Thank you for your interest in our Family of Brands. To become an authorized reseller complete and submit our online application below.

Company Name*
Store Name or DBA if applicable
Applicant Name*
First Last
Store Phone Number*
Applicant Cell Phone Number*
Applicant Email*
Store Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years in Operation*
Nature of Business*
Organization Type*
- Corporation
- Partnership
- Proprietorship
- Ltd Partnership
State Resale Tax ID #*
Upload your current year State Sales Tax or Resale Certificate.
Federal Tax ID #*
Company Officer
First Last
Company Officer Title*
Company Officer SSN
Company Officer Home Address*
Street Address Address Line 2 City State ZIP Code
Is Applicant requesting credit terms or prepaid account (credit card or check in advance of shipment, NO COD's)?*
- Credit Terms with Horse Grooming Solutions, LLC
- Prepaid by Credit Card
- Third Choice
Bank Reference
Bank Contact
First Last
Bank Phone Number
Bank Address
Street Address Address Line 2 City State ZIP Code
Trade Reference*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Length of Time Account Open*
Trade Reference*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Length of Time Account Open*
Store Website URL
UPS Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
USPS Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Accounting Contact*
First Last
Accounting Phone Number*
Accounting Phone Extension
Accounting Email*
Purchasing Contact
First Last
Purchasing Phone Number
Purchasing Phone Extension
Purchasing Email
Shipping/Receiving Contact
First Last
Shipping/Receiving Phone Number
Shipping/Receiving Phone Extension
Shipping/Receiving Email