Account Application

1. Company Information*

Company Name*

What is the nature of your business?*

EIN/VAT/Tax ID*

Attach resale certificate (without this certificate, you will be charged state sales tax on every order):

No file chosen.

Supported formats: .pdf, .jpg, .png

Legal company name (if different)

Company email*

Resale certificate number (Letter ID)

2. Billing & Shipping Addresses*

Billing Address

Street Address*

Country*

ZIP/Postal Code*

Website

City*

State/Province*

Phone Number*

Shipping Address

Same as billing address

3. Company Contacts*

Owner/Primary

Job Title*

First Name*

Email*

Last Name*

Accounting

Same as primary contact

Purchasing

Same as primary contact