Become a VOLTRX retailer

Interested in Selling VOLTRX® Products?

To learn about our wholesale offerings, bottle customization, and Co-Branding 

Program, please complete the initial application below. 

Thank you for your interest.

    Country *

    Check which type of company is applicable to you *

    On Which of the Following Online Sites Do You Currently Sell On? (Check All That Apply) *

    Who are you customers? (Check all that apply) *

    What do you consider your market to be? *
    This is the type of business you have and/or who you sell directly to.
    If you are not a member of a franchise or you were able to select your market, please list N/A

    Sales Tax Exemption Certificate or Resellers Permit(file size:2MB filetypes:jpg,jpeg,png,pdf,xls,txt,xlsx,docx,doc)
    A certificate is required for all wholesale customers. Without this, we are required to charge and collect sales tax on all orders.

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