Thank you for your interest in becoming a HATH reseller! Please fill out the below fields to allow us to review and approve your account, as well as generate your HATH Reseller Agreement for signature.

Please note that all fields notated with an ‘*‘ are required.

Company Information

Contact Information

Address Line 1
Address Line 2
City
State
Zipcode

Verification & Authority

All contracts will be sent for signature to the person referenced in the below fields.
Contracts will be sent to this email address

Hath Website Registration

Please register the user who will be responsible for placing HATH orders on behalf of your company.
Clicking submit will generate and send your HATH Reseller Agreement to the email address provided for e-signature. Your HATH account will not be approved until this is completed.

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