Reseller Registration

REGISTER YOUR RESELLER INFORMATION

In order to resell our products to end customers, we just need a few details from you to get going.

Please complete this form for ALL states you are licensed to sell in.

Message Subject *

Business Name *

Business Name must match the company name registered on the provided certificate. If your business is known under any other name please provide evidence of the link between the two entities registered with GW in the Additional attachments field.

Your Name *

Email Address *

Phone Number

City

State *

Reseller ID Number *

Upload Copy of Reseller Certificate/s *

Please provide one certificate per state that you are eligible to sell in.

Upload Copy of Owners ID *

Additional Attachments

I confirm that the details above are accurate *

Submit