Business Information

Please provide residential address if business type is general partnership or proprietorship
Wakit GrindersQuantityUnit PriceTotals
Wakit Grinders Lucid (3rd Gen) | Shop $25 |MOQ 6 MOQ: 6$25
Wakit Grinders Black (3rd Gen) | Shop $25 | MOQ 6 MOQ: 6$25
Total Of Wakit Grinders
RollBotzQuantityUnit PriceTotals
RollBotz RoboKone Black Onyx (US-SS-Single) NO MOQ$25
RollBotz RoboKone Bubblegum Pink (US-SS-Single) NO MOQ$25
RollBotz RoboKone Supreme Red (US-SS-Single) NO MOQ$25
RollBotz Koala Cone Filler Limited Series (SS-Single) NO MOQ$25
Total Of RollBotz
Wakit AccessoriesQuantityUnit PriceTotals
Wakit Grinders Ball and Chain Replacement (US-SS-Single) MOQ: 6$5
RollBotz Ball and Chain Replacement (US-SS-Single) MOQ: 6$5
RollBotz Filter Replacement (US_SS_SINGLE) MOQ: 6$10
RollBotz Cone Holder with Poker Brush (US-SS-Single) Note: Free with every Wakit Grinder Purchased! MOQ: 6$10
Total Of Wakit Accessories
Total Amount Due

Please Include the Following

Require at least one file *

Marketing Opportunities:

Accept Probooks and Trade Show Orders
Create FTP Folder for Account
Hi Res Product Images
Custom Flyer
POS Needed

Statement of Authorization

This application is being executed by the undersigned as a duly authorized representative (corporate officer or owner) of the customer and the undersigned certifies all information on this form is true and correct. The customer agrees to pay all invoices per their terms and to pay all other charges on account, including, without limitation, collection costs, attorney fees, and court costs. Nothing herein shall obligate the seller to accept any orders from, or extend any credit to the customer. All obligations are governed by, and shall be construed under, the laws of the State of Illinois without giving effect to the laws of such State regarding conflicts. The customer, by the undersigned, irrevocably submits and consents to the jurisdiction of courts located in Cook County, Illinois.

Please fill all required fields