Fill in the information below COMPLETELY.
Print out the application & mail with your check.
Make your check or money order made payable to Vendors of the U.S.
Mail to: Specialty Insurance Agency
P.O. Box 24
New Richmond, WI 54017-0024
Please Note: Product coverage is not available if you are selling: firearms, fireworks, swords, knives, infant products, medical products, nutritional products & supplements.
REQUIRED FIELD - If the signature box is left blank we are unable to process your application.