Buyer Registration

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Buyer Registration

Fax your resell permit and any other required identifications to 661-616-4019, you may immediately call us at 877-550-0600 and we can review and process your application and take your first order...or we will contact you within 48 hours to take your order.

First Name *

Last Name *

Name of Business *

E-Mail address *

Business Phone Number *

Fax Number

Cell Number

May we communicate through text message? *

Street Address *

City *

State *

Zip Code *

Contractor Lic# or Resale Permit Number

Company's Physical Location Type *

For Shipping

Brief Business Summary

Type of business, how long in business, specialties, product lines carried, etc.

Dealer Package *

Choose your dealer package

Standard Dealer $199

Prime Dealer $2,999

Required

I have read and agree to the Dealer Application Agreement *

I know that my buyer status may be terminated if I do not comply with the rules set forth in this agreement. (You will be sent your login/password or contacted upon submission and review of this application.)

Yes

Required

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