Boss Audio Systems

First Name *

Last Name *

DBA/Trade Name(s) *

Primary Contact *

Email Address *

Phone Number *

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Fax Number

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Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Entity type *

State of Incorporation *

Year Incorporated *

EIN *

DUNS *

Resale Certificate Issuing State *

Resale Certificate Number *

What state(s) do you intent to sell BOSS products? *

List all states

What product line are you interested in? *

Identify sources of your BOSS inventory *

Please identify all source(s) of BOSS products you are selling or intend to sell.

Other

Will you use third-party fulfillment service? *

Inventory Plan *

Reseller Website(s) 1