Retailer Application

Please fill out the following application if you'd like to be reviewed to become a retailer partner.

If you have any questions regarding the status of your application, please contact [email protected].

* First Name

* Last Name

* Email

* Confirm Email

Mailing Address

* Street Address

* Post Town

County

* Postcode

* Country

Store Address Click here if same as above

* Street Address

* Post Town

County

* Postcode

* Country

* Price Range of Merchandise

Describe your store

* Location

* Clientele

* Décor

* Size (square metres)

Please upload 2 images of your store as JPEG files (no larger than 2MB). Please include an image of the front of the store and the space where you would merchandise Jack Black

Other Details
The more you can describe your store in detail, the better it will assist us in approving your wholesale status.

* Is your store currently open?

* If yes, how many years has it been established?

* How many (brick & mortar) store locations do you have?

Name 3 brands that you carry or plan to carry.

* Brand 1

* Brand 2

* Brand 3

* Other Brands:

How did you hear about us?

Comments or Questions

Jack Black products may not be sold on the internet without prior written approval. Retailers may not offer Jack Black products on any other third party websites, including bidding or auction style sites, regardless of whether a bid pricing formula or fixed pricing formula is used. Products sold to approved retailers are for resale at retail only and may not be redistributed or sold at wholesale.