Illumination Supply LLC Wholesale Application
Please note that If you do not follow all instructions your account cannot be activated and we will not contact you.

STEP1: Please ensure you have a website account here: https://www.illumn.com/customer/account/create/

STEP2: Please fill out as much as you can below.

STEP3: If you are in CALIFORNIA please follow the instructions under "Reseller's Permit Number (for California Purchases)"

Email Address
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Legal Company Name
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Contact Name
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Contact Phone Number
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Address
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City
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State
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Zip Code
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Country
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EIN / Federal Tax ID / ABN
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Reseller's Permit Number (for California Purchases)
If you are in California, please also submit this form: http://www.boe.ca.gov/pdf/boe230.pdf to sales+reseller@illuminationsupply.com with the subject of "CALIFORNIA RESELLER PERMIT"
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Average Wholesale Order Amount (in USD)
Your answer
Which Products are you interested in?
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Product requests? Which products do you want us to sell?
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