New Vendor/Product Application


Fill out all the fields below to have one of our New Products Specialists begin the process of having you product be a part of our site. Please wait at least 2 days for us to process your application. If you wish, you can download the application in pdf format, fill it out by hand, and fax the form to 954.861.2001 and we will process the application that way.

Download the Vendor / Product Application Form pdf


Product Information

(* = required field)

*Product Name:
*Product Description:
(1000 characters max)
Product Picture (if available):
(2MB Max in JPG, GIF, TIFF, BMP, or EPS format)


Company Information
*Company Name:
Company Website:
*Address Line 1:
Address Line 2:


Main Contact Information
*Phone Number:


Account Payable Contact
Phone Number:


Additional Information

Are NET30/NET10 terms available?

Is it possible for us to also email our PO's?

How long does it take for you to replenish you stock once an item goes into backorder?

What is the minimum order quantity for each product? Is there a broken package price that applies if this is not met?

Is there a minimum dollar amount that must be purchased per PO? Is there a fee for not meeting this minimum?

Are we able to have the products blindly drop shipped to our customers? Is there a fee associated with this?

What is the turnaround for shipping out products?

What is the shipping weight/dimensions?

Assembled dimensions/product weight?

What is your return policy? Is there a restocking fee that applies for product returns?

Can we use our UPS/FedEx account to ship products?

Are all of your products covered by a warranty? If so, what are the terms of this warranty?

What certificates do your products hold? Please include number.
(UL, RU, CSA, ISO, Lloyds Register, CE Rated, etc..)

Are these products patented? Please provide the patent number.

What material is the product made of?

Where will the products be shipping from?