Section 1: General Customer Information

Company Name / Trade Name: *

Company Address

Address *

Street Address

City

State

Country

Postal code

Shipping Address (if different):

Phone *

Email *

Website/Social Media (optional)

Section 2: Customer Type

Select one *

Section 3: Tax Information and Documentation

Are you located within the United States? *

Yes

EIN Number: *

Tax Registration Number in your country: *

Tax Identification (RIF, CUIT, NIT, etc.): *

Do you have a Resale Certificate? (Upload PDF or image) *

Add a File

Section 4: Business Information

How long has your company been operating? (Years in numbers)

What type of pet products do you currently sell?

Brands you work with:

Brands you are interested in purchasing:

Estimated monthly purchase amount (USD):

Between $1,000 – $5,000

Between $5,000 – $10,000

More than $10,000

Section 5: Acceptance of Terms and Conditions

📄 Please read our Terms and Conditions before submitting this application:

I confirm that I have read and accept the Terms and Conditions of DC Pet Distribution.

I confirm that all information provided is truthful and up to date.

Electronic Signature: *

First Name *

Last Name *