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Wholesale Account Application

Wholesale Account Application
If "other" option was selected above, please specify the referral source.
Enter the name of your company
Enter the full name of your designated contact person
Enter the email address of your designated contact person
Enter your contact person's phone number
The street, city, state and zip code of your primary business location
Country your business is located in
Country orders will be shipped to
Type of Business
Briefly describe the nature of your business
Check one of the above. If you are requesting either the EFT or Net 30 Days options, you will also need to provide a credit application. You may email your own credit sheet to [email protected], but we still require that an authorized person sign our copy and Exemption Certificate (Sales Tax Exemption form). APPLICATIONS SENT WITHOUT A COMPLETED CERTIFICATE OF EXEMPTION WILL NOT BE PROCESSED. Download our credit application and Sales Tax Exemption Form below, complete the appropriate sections and then email to [email protected]