Wholesale Application
Wholesale accounts are available for established US based upfitters only.
Company Name
*
Full Legal Company Name
Name on Account
*
First Name
Last Name
Company Business AddressSubmit
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Company Type
*
Corporation (including Incorporated LLC)
LLC Not Incorporated
Partnership
Sole Proprietorship
Owners Name
*
First Name
Last Name
Years In Vehicle Upfitting Business
*
Federal Tax ID Number
*
Resale Certificate #:
*
Copy of Your States Resale Certificate
Browse Files
Drag and drop files here
Choose a file
Arizona Upfitters must upload the AZ5000A From. Nothing Required for Oregon Upfitters
Cancel
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Are you a current Havis / Whelen Reseller.
*
Havis
Whelen
Not currently a Reseller
Please verify that you are human
*
Submit
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