Partner Form

Become a Partner Today

If you are interested in becoming a Preferred Partner with us, please fill out the form below.

Becoming a Preferred Partner is a great opportunity to broaden your product offering through our unique services while complementing your current efforts. Services such as blind drop shipments, online portal account management, and advanced E-mail order and shipment tracking will allow our partners to streamline their buying, shipping, and account management tasks. Along with receiving our monthly newsletters to stay connected, our Preferred Partners will gain access to our E-commerce portal equipped with cross-reference data and shopping cart abilities. Become a Preferred Partner today by filling out the form below:

Company Name: *

First Name: *

Last Name: *

Email: *

Work Phone: *

Please choose a temporary password. Your temporary password must be 5 characters and must be changed on your first login.

Password: *

Confirm Password: *

Billing Address: *

City: *	State: (North America)	Zip/Postal Code: *

Country: *

Tax Reseller License: *

Company Revenue: *

How did you hear about Nexen: *

Product Line(s) Sold:

Laptop Batteries
DSC/DVC Batteries
Game Batteries
2Way Radio Batteries
PDA Batteries
iPod Batteries
Cordless Phone Batteries
Travel Batteries
Accessories

Note to Nexen:

* Denotes a Required Field

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