©2011 Maui Jim, Inc. Lahaina Hawaii | Privacy Policy | Intellectual Property Notice

Upon acceptance of this application and as a buyer in this
program, you the buyer agree that you will not sell Maui Jim
Sunglasses within your department or to any individual for
profit. You also agree to the Restricted Patent License and
Anti-diversion set forth in our . At no time
should Maui Jim Sunglasses be sold or diverted for resale
on the internet or through any other avenue.

A new sales agreement will need to be submitted with the
buyers every calendar year by submitting the Application
Form. After completing the Application Form and emailing
or faxing your ID, you will be sent two VIP cards to order your
sunglasses on www.mauijim.com. You cannot place an order
until you have received your cards. You are allowed two cards
per calendar year.

  REGISTRATION FORM
First Name*
Last Name*
Mailing Address  
Street (no PO boxes)*
City*
State*
Zip*
Country United States
Email*
Verify Email*
Phone Number*
Company/Department*
Title*
Badge ID # (if applicable)
Association (if applicable)
  *Notes a field that is required