Black Cat Elite Club Registration

Joining the Elite Club is easy!! Sign up now to receive all the Elite Club benefits and stay connected to all things Black Cat!

Basic Information

*First Name
*Last Name
*Email
*Password passwordStrength
Password must be a minimum of 6 characters and should contain upper and lower case letters and one number or punctuation mark.
*Re-Enter Password

Company Information

*Company Name:
Your Title:
*Mailing Address:
Address 2:
*City:
State
*Zip / Postal Code:
*Business Phone:
Cell Phone:
Business Fax:

Retailer Information

*Number of retail locations?
*Approximate number of Black Cat items carried?
*Approximate number of all fireworks items carried?
*What year did you start selling fireworks? (ex: 1990)
Type of Partner
(Check all that apply):
Retailer
Wholesaler
Importer
Additional Info:

Primary Black Cat Suppliers

Supplier 1
*Company:
*Location:
*Contact Name:
*Phone:
*Email:
Supplier 2
Company:
Location
Contact Name:
Phone:
Email:
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