New Manufacturers Sign Up Form

Welcome manufacturers! Would you like to sell directly to Trail Blazers/TruckAddOns.com and have your products listed at the leading truck accessories site online and have your products exposed to millions of our constomers? Existing manufacturers, would you like to broaden the representation of your products on our site? Please fill out the form below and we'll be in touch.
* Please allow enough time for response of email before calling.
Company Information
Company Name
(required)
Address
(required)
City
(required)
State
(required)
Postal Code (Zip)
(required)
Phone #
(required)
Fax #
Company Email Address:
(required)
Web Address
(required)
Annual Sales
(required)
Contact Information
Contact Name
(required)
Contact Email Address
(required)
Contact Phone #
(required)
Product Information
Product Name
(required)
Product Type
(required)
Product Description
(required)
Misc. Information (Enter N/A if not available)
Manufacturer Rep Name
(required)
Do you drop ship? Yes/No
(required)
Please list any major warehouse/distributors that stock your product
(required)
Please enter security code
Security Code
(required)