Commercial account enrollment form

Commercial Account Enrollment

To continue, please complete the form below. Once you have registered and are activated, please be sure to read the check your email to read the important system message as well as complete and send back the "Retailer Agreement Form." Please be sure to also watch your spam and junk email box for this. You must complete and return this form for your membership to be complete. Without this, your membership is at risk of cancellation.

Your commercial reseller website will be in the format: www.amazonthunder.com/members/username

Please note: we do not accept member enrollments by phone, you must enroll yourself online.

1. Billing Information: You can edit all fields except username after you are enrolled. (Please enter the info below exactly as on your credit card or bank billing statement. We authorize by billing address and phone.) *Required

Username, no spaces: (ex: yourusername)*
First and Last Name*
Email*
Desired Password*
Billing Phone#*	(Must match cc billing statement)
Billing Address*:	(Must match cc billing statement)
Billing City*:	(Must match cc billing statement)
Billing State or Province*:	(For the US, please capitalize & abbreviate ex: NY)
Billing Zip*:	(Must match cc billing statement)
Billing Country*	(For the US, please capitalize & abbreviate ex: USA)
Shipping Address:	(Leave blank if same as above)
Business Tax Id#:*

Website Address(es): Please list your co website and all websites that will feature our products, do not include your Amazon Thunder members site. Separate each by comma. If no website please write none*. All websites you wish to advertise or sell our products on, you must report here.

Please note: If paying by credit card, Name, Address, phone # and all information above must match the billing info of your credit card.

2. Commercial Account Membership Fee: $49.99 - Reimbursed as a purchase credit for verified Brick and Mortar stores. The main purpose of this is for authorization of new accounts. You will be instantly enrolled after registration.

Payment Method:

Card Type:

Credit card# (no spaces):

Exp date: /

Full name on card:

CVV CODE:

Please confirm all credit card information entered above is correct before pressing the sign up button below. All billing information above in step one, such as (name, address, phone) is verified against your credit card billing statement and will be declined if it does not match exactly. Incorrect information will result in a pending membership which will have to be removed by us before you can attempt to sign up again. support@amazonthunder.com

Amex CVV Code:

Visa, MC, Discover CVV Code:

Your browser does not support inline frames or is currently configured not to display inline frames.

By clicking the "Sign Up Now" button below you are acknowledging that you agree to the terms & conditions as explained above and on our Terms & Conditions page set forth by Amazon Thunder Inc. You also agree to be billed $49.99 one-time.

*Stop, are you sure everything is correct above in your billing address and payment method? Please double check everything before pressing the sign up now button below in order to have instant enrollment, otherwise enrollment could be delayed for up to 24 hrs. Please do not click the back key after payment is approved or you could be double billed.