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Instructions
Please fill out the form below, answer ALL questions and click the SUBMIT button at the bottom of the screen to send us your request. We only sell Wholesale so you must have a sales tax permit,  EIN or other proof that you are indeed a business to set up an account. If you have problems with this form please call us at
800 420-4372 or FAX 800 568-3595
602 955-6688 or FAX 602 955-3330

Or you can email us directly .



Your Name: *
Company Name: *
Company Address: *
City: *
Province: *
ZIP/Postal Code: *
Country: *
Phone (inc area code):
Fax:
E-mail: *
EIN or Sales Tax# (required to set up an account): *

Comments:                                       




(Fields marked with * are required)

If you have problems with this form please call us at:

800 420-4372 or FAX 800 568-3595
602 955-6688 or FAX 602 955-3330

Or you can email us directly .