New Account Application form

Interested in carrying / reselling our products? Please complete the New Account Application form below. Downloading the form more your speed? Click here. We look forward to WERK'ing with you.


Company Information
Address *
Primary Contact Information
Preferred Payment
We accept Credit Card, Check, and EFT transfers. For orders under $2,500USD, payment in full is required at the time of purchase. For orders over $2,500USD, a 50% deposit is due at the time of purchase to begin the order, with the remaining balance due upon the customer receiving notification via invoice that the order is ready for shipping. For payments made by credit card, an additional fee of 3% of the order total will be applied. Credit cards are not charged until the Credit Card Authorization Form, containing the charge amount, is signed by the credit card holder.
Add'l Company Information
Type of Business *
Do you use Social Media to promote your business? *
How did you hear about WERK? *
By submitting this application, I confirm that I have read and agree to the WERK Terms & Conditions Policy. Upon completing the New Account Application, a copy of your W9 and Resale Certificate must be submitted to WERK at: prior to orders being processed.