Beyond123 Wholesale Account Setup
*** Please do NOT apply if you are an amazon FBA retailer. Your account will NOT be approved! ***
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Company Information
Company Name *
Legal Name of Business
Do Business As
Web Site
Business Category *
Sell online? *
(If Yes) Link to online store site
Sell on Marketplace? *
(If Yes) Marketplace Store Name
Contact Name *
Email *
Phone *
Billing Information
Bill To Company Name
(If it's different from the legal company name above)
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
(If it's not United States)
Billing Contact Name *
Main contact person for billing
Phone *
Email *
Preferred Billing Method *
Specify how you wish to receive invoices
Special Billing Requirement
Specify any special requirement or request regarding billing/invoice
Shipping Address and Contact
Leave address info blank if it's the same as billing address
Shipping Contact Name
Contact Phone
Ship To Company Name
Address Line 1
Address Line 2
Zip Code
(if it's not United States)
Email(s) to Receive Shipping Tracking Information
Use a semi-colon ( ; ) to separate multiple email addresses. Leave it blank if you do NOT wish to receive shipment tracking information
Other Informaiton
Sale Rep
Special Request or Comments
comments, request, or any thing you wish to mention...
Final Review!
Please review carefully before clicking on the SUBMIT button below. You won't be able to come back to make change once it's submitted.
Thank you for providing the information. We will contact you once your account is setup.
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