Register - Wholesale

Please contact us using the form below to request access to our online wholesale catalog.

Please provide business information, type of store and location, the products you are interested in purchasing and contact information. Please let us know if you are requesting products for retail sales, or strictly for use on clients. We will respond in 3-5 business days. We require wholesale accounts to provide proof of business (i.e. Sale Tax Certificate, Federal EIN Number, Business Contact Information) before access is granted. All wholesale shipments cannot ship to residential addresses; we are not accepting accounts that do not have a physical location within the US.

Billing Information

First Name

Last Name

Company Name

Address Line 1

Address Line 2

City

Country

Please select...

State / Province

Please select...

State / Province

ZIP / Postal Code

Phone Number

Tax ID

Website

For use on Customers or for Retail Sales?

CustomersRetail Sales

Comments

Shipping Information

Shipping address is the same as billing

Please check this box if your shipping information is the same as billing. If it is not, you may simply add your shipping address in the future.

Account Information

Username (min - 4 chars)

Password (min - 9 chars)

Confirm Password

Email Address

Confirm Email Address

 

By registering with us, you agree with our Terms and Conditions