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Partner Program Application
This form is provided for use by existing Black Cat Fireworks Retailers, Wholesalers and Importers who have not yet registered on the Black Cat website.

Your Partner Program application will not be submitted for review until you complete the website registration process by confirming your email address. We will send an email to the address you provide below. To complete the website registration process... please open this email message and click on the confirmation link. Upon successful confirmation, your website registration will be activated AND your Partner Program application will be submitted for review.

If you have previously registered for the Elite Club, please login and use the Partner Program Application form.

For more information about becoming a Retailer, Wholesaler or Importer of Black Cat brand products, click here.

Fields with * are required. Submitting and confirming registration indicates your agreement to the terms of use.
Check all that apply:
Retailer   Wholesaler   Importer
Username* Email address* Password*
Contact Information
First name*
Last name*
Title
Bus. Phone*
Bus. Fax
Cell Phone
Company*
Address*
City*
State*
Postal code*
Business Information
Number of retail locations?*
Approximate number of Black Cat items carried?*
Approximate number of all fireworks items carried?*
Do you carry the Gold Collection?*
Do you carry the X-Series?*
What year did you start selling fireworks? (ex: 1990)*
Additional Information/Comments
Who are your primary Black Cat suppliers?
Supplier 1
Company*
City*
State*
Contact*
Phone*
Email
Supplier 2
Company
City
State
Contact
Phone
Email



Be sure to check your email and click the confirmation link.
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