Wholesale Registration

If you are a wholesale customer we invite you to register by completing this information form. Once your account is set-up you will have full access to pricing and to place orders on-line.

Important: If your business is in Texas; please click here to download the TX Resale License form and fax it to (714) 276-1411. If your business is in California; please click here to download the CA Resale License Form and fax it to (714) 276-1411

All fields marked with a "*" are required and must be filled out.

*First Name :

*Last Name :

*Company :

*Resale Permit Number

To qualify for a wholesale account, please enter your state sellers permit number (not your Federal Employer Identification Number -- Federal EIN). The state sellers permit is the license that allows you to make wholesale purchases without paying sales tax. The license has different names in different states. If you're from a state that doesn't collect sales tax (Alaska, Montana, New Hampshire, Oregon, Deleware), we will accept your city business license number or your Federal EIN.

Upon completion of your order, please either fax your license to 714-276-1411. We will need a hard copy of your license on file before processing any orders.

*Street Address :

*City :

*State :

*Country :

*Zip Code :

*PhoneNumber :

Fax Number:

*Email :

*Username (same as email address) :

*Password :
(8 character minimum)

*Confirm Password :

To submit this form, please enter the characters you see in the image: