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Create New Customer Account

CREATE AN ACCOUNT

First Name

*

Last Name

*

Company

*

Your Website Address (Website, Facebook, Instagram, or etc)

Business License No.

*

(EIN #, Seller Permit #, Resale ID #, or etc)

*

For an international customer, please input a business license # of your country.
If you don't have it, please submit a recent sales receipt #.

Upload the File

*

(Business Licnese, EIN, Seller Permit, or etc)

*

Business License (Seller Permit, EIN #) file to Upload*

Please upload a scanned copy (or photo) of your document.
For an international customer, please provide a document of your country or recent sales receipt.
**Maximum upload file size: 10MB

Email Address

*

Confirm Email Address

*

Password

*

Password Strength: No Password

Confirm Password

*

Please type the letters and numbers below

Please type the letters and numbers below

BILLING ADDRESS

Legal Full Name / Attention

*

Company

Street Address

*

Street Address 2 (Unit # / Suite #)

City

*

State / Province

*

Zip / Postal Code

*

Country

*

Phone (Business phone, Mobile)*

FAX

SHIPPING ADDRESS
Check Here if same as billing address.

Company

Phone (Business phone, Mobile)

*

Street Address

*

Street Address 2 (Unit # / Suite #)

City

*

State/Province

*

Zip/Postal Code

*

Country

*

Fax

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