Basic Information


Contact Information


Create An Account with Rothco
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Min Requirements: 8 characters. 1+ capital letter, 1+ lowercase letter, 1+ special character
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Additional Contact {{index + 1}}

Additional Information


Shipping Information


Add Shipping Location
Same As Mailing Address

Additional Shipping {{index + 1}}

Retail Information


Add Retail Location
Same As Mailing Address
Same As Shipping Address

Same as mailing address

Same as shipping address

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If you are experiencing issues completing this form please email DealerAcctSetup@Rothco.com

Rothco is not accepting applications for products to be sold on a digital marketplace, such as Amazon or eBay. All companies that wish to sell ROTHCO product online must have a fully functional ecommerce website that has been active for more than one year.