Choose Account Type (Default is Retail):
RETAIL
WHOLESALE
What is Wholesale?
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First Name:
Last Name:
Email Address (User Name):
Example: name@yahoo.com
Confirm Your Email:
Case sensitive
Password:
Case sensitive (* will be changed to a !)
Company or Institution Name:
Required for Tax Exempt / Wholesale / Net-30
Telephone #(Primary):
Look Up Account Phone
Telephone # (2):
Telephone # (3):
Telephone # (4):
Fax Number:
Bill To Address:
Example: 105 Main Street
Apt. or Suite #
City:
State/Province/Region:
--
AK - Alaska
AL - Alabama
AR - Arkansas
AS - American Samoa
AZ - Arizona
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CA - California
CO - Colorado
CT - Connecticut
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DC - District of Columbia
DE - Delaware
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FL - Florida
FM - Federated States of Micronesia
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GA - Georgia
GU - Guam
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HI - Hawaii
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IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
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KS - Kansas
KY - Kentucky
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LA - Louisiana
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MA - Massachusetts
MD - Maryland
ME - Maine
MH - Marhsall Islands
MI - Michigan
MN - Minnesota
MO - Missouri
MP - Northern Mariana Islands
MS - Mississippi
MT - Montana
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NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
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OH - Ohio
OK - Oklahoma
OR - Oregon
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PA - Pennsylvania
PR - Puerto Rico
PW - Palau
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RI - Rhode Island
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SC - South Carolina
SD - South Dakota
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TN - Tennessee
TX - Texas
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UT - Utah
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VA - Virginia
VI - Virgin Islands
VT - Vermont
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WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
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AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland/Labrador
NS - Nova Scotia
NT - Northwest Territories
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Qubec
SK - Saskatchewan
YT - Yukon
— or —
Not in the United States or Canada? Enter your province or region into the text field above.
Zip Code:
If you do not have a Zip Code, please put “NONE”
Country:
United States
Canada
OTHER
If you picked "OTHER" please call us.
Are you a robot? What is the sum of 5 and 4:
YOU ARE ALL DONE!!! SKIP THE TAX SECTION AND "SUBMIT YOUR INFO" IF YOU ARE A TEXAS CUSTOMERS AND DON'T WANT TO REQUEST TAX EXEMPT STATUS. IF YOU DO, THEN FILL OUT BELOW, SUBMIT, AND MAKE SURE YOU HAVE A COMPANY NAME ENTERED ABOVE.
Tax Exemption Resquest Form Section:
All customers shipping outside of TEXAS will automatically be tax exempt WITHOUT the need to fill this section. Please download FORM below, fill out, sign, and upload in pdf or picture format.
All potential wholesale clients require to fill this section out. If not in Texas, please upload the most current State's Resale License Certificate issued to you or your company. Tax I.D. Number and Company / Institution name must match above registration information. Your order will be delayed or criminal tax penalties will be issued to you by the Texas Government if status is found incorrect or untrue.
Tax ID#:
Tax Exempt Agreement:
I have read and have understood
all of these terms and conditions
.
Attach Tax Exempt Certificate:
Download From Here
Upload Certificate Here ->