Knowledge BaseSupport, policies, and product guidance.

Dealer Application

Business Name

Doing business on behalf of

Buyer or Primary Contact

Title

First Name

Last Name

Business Phone

Website

Social Media

Years In Business

Number of Locations

States Where You Operate/Sell

Federal EIN

Shipping Address

Country

Street

City

State/Province

Zip/Postal Code

Billing Address

Country

Street

City

State/Province

Zip/Postal Code

Define your Type of Business

Physical Retail Location Details

Do you operate an online store?

Do you sell on Amazon, eBay, Walmart Marketplace or other marketplaces?

If yes, please list the marketplaces

Do you currently sell coffee?

Which Coffee Brands do you currently carry?

Do you currently sell energy drinks?

Which Energy Brands do you currently carry?

Lead Source

Sales Rep Name

Distributor Name

Were you referred by someone? If so, please provide their name.

Tell us about your customer base and why BRCC is a good fit for your business

How is your business different than others in your industry?

Dealer Agreement & Policy Acknowledgements

Initial Minimum Order: $1,500

Order Minimum Purchase: $750

Annual Minimum Purchase: $5,000

Dealer agrees to follow BRCC MAP pricing policy

Dealer agrees not to resell on unauthorized third-party marketplaces

Dealer agrees to represent the BRCC Brand Appropriately

I certify that the information provided is accurate and complete. Submission of this application does not guarantee approval. BRCC reserves the right to approve or deny any application.

W-9

Required. Upload one PDF up to 4 MB.

Resale Certificate

Upload one PDF up to 4 MB. Required if your shipping address is in a state that requires a resale certificate. Not required for Alaska, Delaware, Montana, New Hampshire, or Oregon.

Dealer images

Optional. JPEG, PNG, or WebP up to 4 MB each. You may select additional images in the same field.