Dealer program

Dealer Application

Apply for dealer or wholesale pricing for your car audio retail store, installation shop, or distribution business. We review each application manually and follow up with next steps.

Verified application

Business Information

Tell us where the business operates and how customers find you.

Business Name*Street Address*City*State*ZIP Code*Business Phone*Business Email*Desired Username*Letters, numbers, and underscores only. Used if your dealer account is approved.WebsiteBusiness HoursOptional. This can be used for your public dealer locator listing after approval.

Contact & Business Profile

Give us the primary contact and a quick read on your shop.

First Name*Last Name*Title / PositionDirect Phone*Contact Email*Business Type*Years in BusinessTax ID / EINResale Certificate #Current Brands CarriedEst. Monthly Subwoofer SalesHow did you hear about us?Additional Notes

Dealer Program Acknowledgement

Submitting this form does not automatically approve dealer access.

This application is a request to be considered for Basshead Supply dealer or wholesale pricing. Submitting this form does not create an approved dealer account, guarantee pricing, or authorize public representation as an approved Basshead Supply dealer.

By submitting this application, you confirm that the information provided is accurate and that Basshead Supply may contact you to verify business details, request supporting resale or tax documentation, and review product fit for your shop.

I have read and agree to the dealer application terms.

Digital Signature

Type your full legal name to sign and submit the application.

Full Legal Name*Date*