Reseller Request Form

Thank you for your interest in becoming a reseller of BoxLock. We are always on the lookout for partners to assist us in the fight against porch pirates!

Please fill out the short survey below to help us determine if you are a fit for our product.

Name *

Name

First Name

Last Name

Email Address *

Company Name *

Company Phone Number

Company Website *

If unavailable please type N/A

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How many units are you interested in ordering? *

Business Type *

Please provide a description of your business.

How did you hear about us? *

If you answered Trade Show or other in the previous question, please provide the source if available.