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Registration Form

Seller Registration

Company Status

Company Legal Name

*

Company DBA/Trade Names

*

Company Street Address 1

*

Company Street Address 2

*

Company City

*

Company State

Company Zip Code

*

Company Email Address

*

Company Phone Number

*

Company Entity Type

State Of Incorporation/Organization

EIN/Tax ID Number

*

Primary Contact Person

First Name

*

Last Name

*

Position At Company

*

Primary Contact Email Address

*

Primary Contact Phone Number

*

Account Details

Account Number

*

PLEASE IDENTIFY THE URL FOR EACH WEBSITE WHERE YOU INTEND TO SELL PPG PRODUCTS.

Location of Selling Websites

*

Please review the restrictions on online sales set forth in the Policy carefully. You are only permitted to sell the Products to End Users
on Permissible Public Websites, which are websites that are
(i) operated by you in your own legal or registered fictitious name,
(ii) conspicuously state your legal name or registered fictitious name and detailed contact information,
(iii) do not give the appearance that they are operated by PPG or any third party,
(iv) have been registered with PPG through this form, and
(v) are operated in compliance with the Professional Plumbing Group Online Sales Guidelines, which are attached to the Policy.
Please note that consent to sell the Products on online marketplaces is not granted through this website registration process.

DO YOU SELL OR INTEND TO SELL THE PRODUCTS TO END USERS AT ANY BRICK-AND-MORTAR RETAIL LOCATIONS?

Brick And Mortar Retail Locations

NoYes

PLEASE IDENTIFY THE PHYSICAL ADDRESS FOR EACH BRICK-AND-MORTAR LOCATION WHERE YOU SELL OR INTEND TO SELL THE PRODUCTS TO END USERS.

Brick And Mortar Physical Locations

*

FROM WHOM DO YOU PURCHASE PPG PRODUCTS?

PPG Product Provider

*

DO YOU STORE OR INTEND TO STORE YOUR INVENTORY OF THE PRODUCTS AT A LOCATION OTHER THAN THE COMPANY ADDRESS IDENTIFIED ABOVE?

Offsite Storage of PPG Product

NoYes

PLEASE PROVIDE THE ADDRESS FOR ALL LOCATIONS WHERE YOUR PRODUCT INVENTORY IS STORED OR WILL BE STORED.

Address of Offsite Storage

*

DO YOU INTEND TO USE ANY THIRD-PARTY FULFILLMENT SERVICE (INCLUDING ANY DROP-SHIPPING ARRANGEMENT BY AN AUTHORIZED DISTRIBUTOR) TO FULFILL ORDERS FOR THE PRODUCTS PLACED THROUGH THE WEBSITE(S) IDENTIFIED IN QUESTION 1 ABOVE?

3rd Party Fulfillment Service

NoYes

PLEASE IDENTIFY THE NAME OF THE FULFILLMENT SERVICE AND DESCRIBE THE SERVICES PROVIDED.

Name of Fulfillment Service and Description

*