Wholesale - Brynje USA

Reseller Partner Registration

Please fill out this form to register as a Brynje USA partner. There will be no charge. We will use your shipping and billing addresses to validate your qualification as a Brynje USA partner. The approval process usually takes three business days. If you do not hear from us after three business days, please contact us at: [email protected].

If you are a front-line professional (fire, police, military, ambulance, etc.), please consider applying for our discount rate for professionals.

Registration

Username*

Email*

Password*

Customer billing address

First Name *

Last Name *

Company *

Address line 1 *

Address line 2 (optional)

City*

Postcode / ZIP *

Select billing country (optional)

State / County or state code (optional)

Phone *

Customer shipping address

Copy from billing address

First Name *

Last Name *

Company *

Address line 1 *

Address line 2 (optional)

City *

Postcode / ZIP *

Select shipping country (optional)

State / County (optional)

E.I.N. or Tax Exempt # *

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