WIN Dealer Application

Thank you for your interest in becoming a WIN Dealer.  Please complete our online dealer application to submit your information.  We typically review and approve applications within 24-48 hours.

To complete this form, you will need:

  • Your Legal Company name and mailing address
  • Your store brand name, if different from your legal name
  • Your Federal Tax ID, and your state Sales Tax ID (they're the same in many states)
  • Your store's Facebook, Twitter, and Instagram links, so we can easily direct WIN fans to you
  • The name and contact info for our primary contact at your store

Once you have that information available, the application should take no more than 5 minutes to complete.  

We're excited to have you aboard!

Company Information
Public Name / Brand of Store *
Public Name / Brand of Store
Company Mailing Address *
Company Mailing Address
Are all of your locations in the same state as your mailing address? *
Primary Contact Information
Primary Contact Name *
Primary Contact Name
Primary Contact Phone *
Primary Contact Phone
Alt Phone
Alt Phone
Online / E-Commerce Info
Do you plan to sell WIN on your web site? *
Amazon, Ebay, and Other marketplaces *
Additional Information