New Dealer Request Form

Request to become a PelletStoveParts.com Dealer/Reseller.

General requirements for becoming a PelletStoveParts.com Dealer/Reseller:

- Dealer / Resellers are Professionals whose main business is that of selling Hearth Products and / or providing Professional, in Home Hearth Service. A physical address and telephone number is required as a method of contact and such address and telephone number must be made available to the general public.

- A true Hearth Professional will be a member of: HPBA (Hearth Patio & BBQ Assoc.) or NCSG (National Chimney Sweeps Guild) or any Affiliate, Professional local, state or regional Hearth related or Chimney Sweep Guild, Association, Organization, etc., that PSP deems appropriate to distinguish you as a professional.
Name Name First Last
Phone Phone - ### - ### ####
Email
Billing Address Billing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Shipping Address Shipping Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you have an actual physical store?

Do you have an actual physical store? Yes No

You NEED to have a physical store/storefront to become a dealer. Some exceptions may be made on a case by case basis.
Preferred Username:

Only use standard letters and/or numbers. (no special or odd keyboard characters) For best results do NOT use capital letters and use a combination of your first and last name. example = joesmith
Preferred Password:
Must be between 8 and 10 characters. Currently Entered: 0 characters.
Create a password that is 8-10 characters long using numbers and/or letters.
Questions or Comments:
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What is the sum of 4 and 2 ?