Apply Online and become an InstallCard ebay Reseller

Tell us about your Company

ebay User ID:
Comany Name:
Address:
Address 2:
City:
State:
Zip:
Website:
Telephone:
Fax:

Enter Your Shipping Address

Check if same Shipping Address

Attention:
Company:
Address:
Address 2:
City:
State:
Zip:
Telephone:

Primary Sales Contact

Name:
Title:
e-mail:
Telephone:

Primary Billing Contact

Check if same as Sales Contact

Name:
Title:
e-mail:
Telephone:

Method of Payment

How would you like to Pay:

By submitting this Application to become an Authorized InstallCard Reseller, I acknowledge and agree to the following terms and conditions; I authorize my credit card to be charged $15 for shipping and handling of my opening InstallCard order; I will not be responsible for InstallCard payment(s) until activated; I am only authorized to sell InstallCards through my eBay store, or in conjunction with eBay listed products; I will indemnify and hold eBay harmless from any liability as a result of an InstallCard transaction. InstallerNet reserves the right to refuse this application and/or terminate Authorized Resellers for any reason.

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