Dealer Application

This is not an application for credit terms with Electrosales. We request a credit card for all purchases. No COD's please. No opening order or minimum orders required

Business Information

Shipping Information (if different)

Business Structure

Business Type

How long in business?

years months

How long at present address?

years months

Sales Tax Information


*** A resale certificate is required for ALL accounts. Missouri applicants please fill out the Missouri Tax Exemption Form (PDF). For applicants in all states other than Missouri, please fill out this Sales/Use Tax Exemption Certificate (PDF). Please email the completed form to,or fax to 417-869-6568 Attn: Electrosales Application Processing. ***

Price Sheet Access Information

Please list the name and e-mail address of the person(s) that should be given access to our online price lists.