Retailer Application

Please fill out the following application if you'd like to be reviewed to become a retailer partner.

Copies of your federal tax ID and resale tax ID must be faxed with your first order. Please take a few minutes and fill out this online application.  You will be notified once you are approved. 

If you have any questions regarding the status of your application, please contact


Mailing Address
Store Address


Describe your store
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The more you can describe your store in detail, the better it will assist us in approving your wholesale status.

Name 3 brands that you carry or plan to carry.
How did you hear about us?


Jack Black products may not be sold on the internet without prior written approval. Retailers may not offer Jack Black products on any other third party websites, including bidding or auction style sites, regardless of whether a bid pricing formula or fixed pricing formula is used. Products sold to approved retailers are for resale at retail only and may not be redistributed or sold at wholesale.