Black Warrior Customs

Retailer Application

Please complete the application below. Submission does not guarantee approval. Approved retailers will be required to provide valid resale documentation before a Black Warrior Customs retailer account is activated. We reserve the right to verify information submitted with this application.

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Business Name *

Contact Name *

First

Last

Email *

Phone Number *

Business Street Address *

City, State & Zip Code

Us or Products

Website or Social Media

Business Type *--- Select Choice ---Retail Store/BoutiqueOutdoor/Sporting Goods StoreGift ShopOnline RetailerOther

How Do You Sell *--- Select Choice ---Physical Retail LocationOnline OnlyPhysical Location & Online

Resale Certificate/Sales Tax ID Number *

Products You'r Interested in Carrying *

• T-Shirts
• Hats
• Performance Wear
• Hoodies & Sweatshirts

Tell Us About Your Business *

Tell Us About Your Customers and the Market You Serve

Retailer Agreement *

• I understand that submitting this application does not guarantee approval and that valid resale documentation will be required before a Black Warrior Customs retailer account can be activated.

Submit Retailer Application