United Micro Inc. always welcomes new sales partners! If you would like to become our wholesale customer, please fill out the Reseller Application Form below AND fax your vendor's license to 1-800-853-9595. You also can call us at 1-800-943-7255 or E-mail us with your questions. You will have access to restricted area in a minute!

Reseller Application Form

General Info:

Business Name
State License No
License Issue Date MM/DD/YY
Principle Officer
City of License   State
Phone (Login ID) Area code   Phone
Password
Email Address

Billing Information:

Name
(First, Last)
Address
City
State Zip/Postal
Credit Card Information
Credit Card Type:
Exp. Date MM/YY
Credit Card Number:
Bank Phone Number:


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