Super Me Hero

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Wholesaler Account Application

If you are a retailer and would like to carry SuperMe products, we'd love to hear from you! Please fill out and submit the form below, email us at info@supermehero.com or call us at 866-787-3710.

Contact Information

Your Name*

Company *

Email Address*

Phone Number

Fax Number

Billing Information

Address1

Address2

City

State

Zip

Same as Billing Info

Shipping Information

Address1

Address2

City

State

Zip

Company Information

Federal Tax ID

State Resale Number

Type of Store

If Brick & Mortar, list number of locations

If Online Store, what is your website?

Years in Business

* Required Fields