NEW ACCOUNT

Become an official Retailer or Distributor with Imex Leader and gain access to exclusive pricing, marketing support, and our signature brands.

Business Type:

Business Registration Number (if applicable):

VAT/Tax ID Number:

Years in Operation:

Contact Information

Full Name:

Position/Title:

Phone Number:

Email Address:

Shipping Information

City:

State:

Zip:

Country:

Billing Information (if different from shipping)

Billing Address:

City:

State:

Zip:

Country:

Order Preferences

Preferred Product Categories:

Estimated Monthly Order Volume:

Additional Notes or Questions:

A representative will contact you within 1–2 business days.

Note: Imex Leader reserves the right to approve or decline any application at its sole discretion.