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Business Application

Business Application

1. User Information

2. Account Details

3. Reseller Disclosures

4. Terms & Conditions

First Name*
Last Name*
Email Address*
Phone Number*

User Information:

Information about you we need to begin processing your account.
Business Type*
Your Role*
Please select the option that matches the best.

1. User Information

2. Account Details

3. Reseller Disclosures

4. Terms & Conditions

Business Information:

Information about your organization we require to process your business account.
Company/Organization Name*
Country*
State/Region*
City*
ZIP/Postcode*
Organization Address*

Tax Information:

We need certain tax information to process your business account.
Are You Tax Exempt?*
If your business or organization is tax exempt, then a valid tax exemption or resale certificate must be submitted to our account analysts before we can approve your account. We will reach out to you separately for this document. We are required to charge sales tax unless a valid certificate is provided to us.

Exemption Information:

Why & where are you exempt?
Reason For Exemption
State Registration Number
Federal ID Number (FEIN)
Do not include social security number.
In what states are you exempt?
Please select all state(s) your organization is exempt in.

Business Entity Information:

This information helps us process your account.
Company/Organization Entity*

1. User Information

2. Account Details

3. Reseller Disclosures

4. Terms & Conditions

Will you ship or resell NewRain products outside of the United States?*
In what countries?
Will you bid on government contracts using NewRain products, or ship/resell to any government entity outside of the United States?*
What government entities/military facilities?
Will you resell NewRain products to a third party that sells on the internet*
What third partie(s)?
Will you sell NewRain products on the internet on behalf of yourself?*

1. User Information

2. Account Details

3. Reseller Disclosures

4. Terms & Conditions

By completing this form you acknowledge that all of the information submitted is true and correct. You agree that if any information becomes outdated or otherwise invalid, or if you learn of a pending change that would affect the information sibmitted from within this form, you will notify NewRain immediately. NewRain will not be held liable to any degree in regards to any losses incurred due to your failure to notify us promptly. By signing this registration and agreement, you are authorizing NewRain to send you advertisements via email. We reserve the right to add a credit card processing fee to all transactions. You agree that any products purchased from NewRain will not be re-sold, distributed, exported, or disposed of contrary to any relevant US law or regulation, including but not limited to laws regarding embargoed countries and anti-boycott regulations.

Electronic Signature:

Signing here is the same as signing a document.
Enter Your Full Name*
Select Today's Date*

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Headquartered in Los Angeles, California – NewRain is a top PPE & medical product supplier and distribution channel for businesses and organizations.

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NewRain is a B2B supplier that sells personal protective equipment (PPE) to businesses, healthcare facilities, and government contractors.

If you are purchasing on behalf of your business or organization, please continue registering. If you would like to purchase PPE for yourself for at-home use, you should consider visiting our consumer website.

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