Become a Retailer
November 21, 2008
If you are a retailer in the U.S. and are interested in selling our products, we would love to hear from you.
Please send us the merchant information form below. Once approved, you will receive email confirmation of your account status. In the meantime, if you have any questions about our retailer program, please contact us at 214.552.5631 or email us at info@supergoop.com. All fields marked with an asterisk (*) are required.
PLEASE NOTE: We do not permit the sale of our items on Ebay or on any other auction site.
*First Name *Last Name
*Company Name
*Email Address
*Phone Number
*Fax Number
Billing Information*Address 1 Address 2
*City
*State
Select One Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip Code
Shipping Information*Address 1 Address 2
*City
*State
Select One Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip Code
*Shipping Contact
(if different from main contact)
*Email Address
*Phone Number
Store location same as shipping address?
Company Information*Federal Tax ID *Resale Number
*Type of Store
Select One Baby/Children’s Apparel Toy Store Lifestyle/Spa /Resort/Hotel Department Store / High End Pharmacy / Natural Grocer / Boutique/ Apothecary
*Type of Sales
Select One Online Brick and Mortar Both Online and Brick & Mortar
*Years in business
Select One 1 2 3 4 5 6-10 10-20 20-50 50+
*Tell us about your store
*What other products and brands do you carry?
Online Store InformationIf you operate an online store, provide URL
Do you plan to sell our Products on other websites?
If so, please list all URLs below. (Separate multiple URLs with a return.)
Brick and Mortar Store InformationNumber of brick and mortar stores
Select One 1 2 3 4 5 6-10 10-20 20-50 50+ If store location is different than shipping address, please enter store address and phone below.
If you have more than one store location, please enter address and phone for each store.
Additional Information*How did you first hear about our products?
*Additional notes for us:
Verification
