Wholesale

Wholesale Application

Fill out the form below to register your wholesale account. Fields marked with * are required.

Ordering Contact

Name *

Phone

Email *

Create Password *

Billing Contact

Name

Phone

Delivery Information

Street Address

Suite/Unit

City

State

Zip

Receiving Days

Receiving Times

Special Instructions

Payment Terms

Requested Payment Terms

Tax Exemption

We are tax exempt

Resale Certificate (AZ 5000A)

TPT / Sales Tax License No.

Address

City

State

Zip

Certificate Period

Single Transaction Until 7/18/2027

Nature of Business

Description of Property

I certify that these purchases are for resale in the ordinary course of business and that the information on this Certificate is true, accurate and complete.

W9 Information

Name of Entity/Individual *

Business Name (if different)

Federal Tax Classification *

Address *

City *

State *

Zip *

Taxpayer Identification Number (TIN) *

Enter your SSN or EIN

Under penalties of perjury, I certify that: (1) The number shown is my correct taxpayer identification number; (2) I am not subject to backup withholding; (3) I am a U.S. citizen or other U.S. person; (4) The FATCA code(s) entered are correct.

I certify under penalties of perjury that the information provided is correct.

Signature (Type your full name) *

Legal Agreements

I agree to the Terms of Service I acknowledge the Privacy Policy