New Customer Registration Form

B2B Account Request
Authorized Representative*
Company Legal Name*
Company Assumed Name (DBA)
Legal Entity Type*
State of Filing*
State Tax ID Number*
How did you hear about us?*
Shipping Address*
Phone Number*
E-mail*
Tax Exemption Certificate
Important: B2B customers must provide a signed copy one of the following tax resale certificates below(only 1 is required).

Acceptable Documents
- Texas Form 01-339
- Multi-State Tax Commission Form
State sales tax permits or business licenses are NOT valid for tax exemption purposes.
File Upload*

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