Buy Online or Call: (800) 648-7239
High Quality Rechargeable Batteries, Battery Chargers, Flashlights, And Mobile Energy Products

Sign up for our newsletter:

Horizon Battery
1001 Lower Landing Rd Ste 101
Blackwood,NJ 08012
Click to Verify
Official PayPal Seal
Horizon Battery is upfront
Bookmark and Share

Quick Dealer Application

This application is reserved for customers that have been in business for more than one year. Please fill in the following questions that apply and submit.

Your information is sent via our secure server and is only used for the purpose of establishing a business relationship with The Horizon Group. You may also print the completed form and fax it to: 856-582-5399. Most applications are processed within 24 hours.

Dealer Information
Company *
Federal ID# *
First Name *
Last Name *
Email *
Accounts Payable Contact Name *
Email For Accounts Payable *
Phone *
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Bank Name *
Bank Address *
Bank City State Zip *
Bank Account Number
Bank Phone Number *
Bank Primary Contact *
May we contact your bank if we need to? *
Yes   No
Credit Card Account #
Expiration Date
Name on Card
Bill to Address of Credit Card
Do you wish to use this card every time?
Yes   No
Resale Certificate # *
Are all purchases exempt? *
Yes   No
Markets Served * Select all that apply by clicking and holding the control key.
Digital Signature

Your digital signature approves us to check you credit and extend you terms.

© 2015 Copyright Horizon Battery. All Rights Reserved. | We respect your privacy. | Sitemap
SEO-Cart: Search Engine Friendly E-commerce Software