Register as Reseller

In order to process your request as Authorized Reseller of Elite Industry, Please complete the following:

  • Fill out the form provided below, then press the submit button.
  • Fax us a copy of your reseller permit to 909-595-8048.
  • Print the reseller certificate here, fill it, sign it, then fax it to 909-595-8048.

    • After reviewing and approving your completed application, your User ID and Password will be activated within 24 hours.
    (Fields with * are required)

      
    * Email Address:  
    * Password: (At least 6 characters long)
    * Retype Password:  
    Hint:  

      Ms. Mr.  
    * First Name:
    * Last Name:
      Job Title:
      Company Name:
    * Phone No.: Area Code - - Ext
       Fax No.: Area Code -  
    Please do not fill with any symbol such as "+" or "-". (example: 909 5558258)
       Web Site/Url:
    * Address:
    * City:
    * Country:
    * State:
    * Zip/Postal Code:

    How do you know about Elite Industry?
                                

    Your Business Outlines:

    Your Business Nature:
    Importer    Importer/Exporter    Manufacturer
    Distributor    Retailer  
     Other:

    Please describe about your business (300 words at most):

    You mainly import from the areas of:
    Africa    Europe    Asia    Middle East
    North America    Oceania    South America



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