Create Wholesale Account

New Wholesaler Account Registration. Become Our Reseller
If you already have a reseller account, please login here.


Do you want to become a Wholesaler? (Business to Business)
Send this form, we will verify your information and we will contact you to activate your account..


Title:

Name (First, Last):

First M.I. Last

* required

User Name (e-mail):


* valid email required

Password:


* no less than 6 letters/digits required

Retype Password:

* no less than 6 letters/digits required
   

Company Name:


* required

Tax Number:


* required

Address:


* required

City / State:

* required

Zip / Postal Code:


* required

Country:



* required

Phone:


* required

Cellphone:

Fax:

Company register certificate:


Upload your company register certificate

File size limit: 1Mb. - Allowed type: Pdf, Jpg, Gif, Png, Zip, rar
  I have read and understand the General terms and conditions