Thank you for your interest in becoming a Montana Silversmiths/PowerChord Dealer, where your turn-key e-commerce solution is only a few clicks away! There is a one time set-up fee of $79, a monthly charge of $32 and $25 per additional Identifier. Please contact your Sales Representative for additional details.


**Note:  Please read our Dealer Requirements and Policies document HERE before filling out the Dealer Signup Form.

Account Information
 Account Number:    
 Rep Name:  

Personal Information
 First Name:
 Last Name:
 Store Name:
 Address 1:
 Address 2:
 City:
 State:
 Zip Code:
 Phone #:
 Fax #:
 Email Address:
 Existing Website Address: http://

Additional Store - $25 per year per retail location 
(Enter an additional Identifier for each store you have. Must have a physical retail location.)
Identifier
Identifier
Identifier
Identifier
Identifier
Identifier
Identifier
Identifier
Total # of Additional Identifiers X $25.00
ShopMtSilver Website Charge: $32 .00 / month

Activation Fee: $79.00