Become a Reseller

Reseller Application

Contact information

Name of business

Please enter the name of your business

Contact person

Please enter the name of the contact person within your business

Position

Please enter your position within your business

Please enter the email address of your business

Email for order confirmations

Please enter your email address for order confirmations

Email for sending invoices

Please enter your email address for sending invoices

Phone

Please enter the telephone number of your business

FAX

Please enter the FAX number of your business

Address information

Address

Please enter the address of your business

City

Please enter the city in which your business is located

Zip code

Please enter the zip code of your business

Country

Please enter the country in which your business is located

Business information

Business registration number

Please enter the business registration number of your business

Value added tax ID number

Please enter the value added tax ID number(EU) of your business

Preferred language

Preferred currency

Interested in product types

UPS Hardware UPS Software Battery Management BACS Facility Management

Would you be willing to allow GENEREX request a credit report of your business?

Yes No

Financial information

Your company's turnover in the last year of UPS or battery products

Please enter your business's turnover of UPS or battery products

Estimated turnover for GENEREX products

Please enter your estimated turnover for GENEREX products

Credit institue

Please enter the credit institute of your business

Account number

Please enter the account number of your business

Bank location

Please enter the location of the bank of your business

For all new resellers, the first order is required to be pre-paid by bank transfer or paypal before delivery.