Thank you for your interest in becoming a MadJax Dealer!

In order to become a MadJax dealer, please note the following requirements:

E-mail copies of the following to dealersupport@mymadjax.com or fax to 229-228-5298:

A Copy of your Sales Tax Exemption Certificate
A Copy of your Dealer License

In order for you to be added to our dealer locator, we require that you place an initial minimum order of $1000. As an incentive for you to be able to stock a wider variety of MadJax Products, all items ordered in your initial order will be priced at our 20+ volume pricing level.

Once your Tax Exemption and Dealer License forms have been sent and your first order is processed, you will be added to our dealer locator.

We look forward to serving you!

- The MadJax Team

*Last Name:

*First Name:

*Email:

Additional Emails (separate by commas):

Pass Code: Will be sent via email

*Business Name:

Online Store:

Website Address:

*Work Phone:

Fax:

*Address 1:

Address 2:

*City:

*State:

*Zip:

Country:

*Federal Tax I.D.:

*Sales Tax Exemption No.:

Do you have a showroom?:

Number of Employees: