Alexapure Wholesale Program

Provide your customers with the means for fresher air and cleaner water. Become an authorized Alexapure dealer today. Simply, fill out the reseller application below.

Reseller Application

Business Name

Contact Name

Website Address

Phone Number

Email Address

Billing Address

Billing Address 2

Billing City

Billing State

Billing Zip

Shipping Address (If different from above)

Shipping Address 2

Shipping City

Shipping State

Shipping_Zip

What is your expected order amount?

$1,500 - $9,999

$10,000 +

How do you plan to sell our products?

Online

Retail Store(s)

Other

If Other please explain

What is your @instagram handle?

What is your @facebook handle?

What is your @twitter handle?

State Resale Number

Tax ID

Can you accept LTL freight deliveries?

Yes

Liftgate Required

I have read, and agree to the Alexapure wholesale program terms & conditions