Independent & specialty retail

Apply for a wholesale account. Tell us how you sell.

This detailed account application is for qualified independent, specialty, regional, ecommerce, and distribution businesses. Share your business details and the categories you want to explore.

National retail, OEM, private label, or licensing?Use the direct Sales path for a faster, program-level conversation.Email Sales

Independent and multi-location retail
Ecommerce
Regional and national distribution

Wholesale account application

Tell us about your business.

Fields marked with an asterisk are required. Complete the remaining fields when they apply to your business.

01 Company profile

Business name

Company type

Business website

Number of physical store locations

02 Primary contact

First name

Last name

Phone

Business email

03 Business address and tax information

Country

Business address

Address line 2

City

State or territory

ZIP code

EIN

Resale permit number

Resale permit state

04 Product interests

Select the categories you would like to discuss. Mention AIRIO, EZ Breezy Kites, Pac-a-Pals, or another program in the background section below.

05 Company background

Tell us about your company and how we can help

Include your sales channels, territories, relevant categories, and the brands or programs you are interested in.

Your information will be sent securely to the BrainStormProducts wholesale application system for business-team review and follow-up.