Wholesale Account Application

Please note that we are a wholesaler and distributor and do not sell directly to the public. You must have a registered business to open an account with us. If you’ve ordered from us in the last few years then you probably already have an account with us and you’ll just need to confirm a few details over at Activate My Account.

Business Legal Details

Business Legal Name *

Have you ever done business under any other names? If so, please provide them here.

Business Number or EIN *

Years in Business *

Business Address Line 1 *

Business Address Line 2

Business City *

Business State *

Business Zip Code *

Business Phone *

Business Fax

Business Website

Owner/Buyer Details

Owner/Buyer Firstname *

Owner/Buyer Lastname*

Owner/Buyer Email *

Owner/Buyer Tel

Attach Business License (if available)

Addresses

Please confirm the Billing Address for invoices, statements or other mail:
Same as legal addressProvide a different Billing Address

Please confirm the Shipping Address to which orders must ship:
Same as legal addressSame as Billing AddressProvide a different Shipping Address

Billing Address

Billing Address Line 1 *

Billing Address Line 2

Billing City *

Billing State *

Billing Zip Code *

Shipping Address

Shipping Address Line 1 *

Shipping Address Line 2

Shipping City *

Shipping State *

Shipping Zip Code *

Account Details

You must fill out the Credit Reference section completely when applying for a Credit account. Please select the type of account you would like to open here:
Prepaid (credit references not required)Credit

Attach Credit Reference file (or you can enter details in the next section)

Credit References (please provide all 3 references)

Reference Company #1

Contact Name

Contact Email

Contact Phone

Reference Company #2

Contact Name

Contact Email

Contact Phone

Reference Company #3

Contact Name

Contact Email

Contact Phone

Please enter the letters or numbers in the image above: *