Wholesale Application Form

Apply for Reseller Access & Volume Pricing

Thank you for your interest in becoming a Reliable Fuse reseller. We offer wholesale pricing to qualified businesses who resell fuse products or require volume purchasing for regular use.

Please complete the form below and our team will review your application. Approved resellers will receive access to exclusive pricing and ordering options.

Business Information

Business Name(Required)

Contact Person(Required)

Phone Number(Required)

Email Address(Required)

Website

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address (if different)

I want to ship to a different location

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Details

Type of Business(Required)

(e.g., Retailer, Distributor, Pyrotechnics Company, Event Organizer, Other – please specify)

Years in Business(Required)

Federal Tax ID or Business Number(Required)

Are you currently reselling fuse or related products?(Required)

Yes

Estimated Monthly Fuse Requirement(Required)

(in feet or number of rolls)

Do you require special packaging, documentation, or shipping arrangements?(Required)

Yes (please describe below)

Special packaging, documentation, or shipping arrangements information

Additional Comments or Questions

CAPTCHA

Wholesale Application Form

Business Information

Business Details

SPARK BRILLIANCE,

ENSURE SAFETY

Reliable Fuse