Requesting a Wholesale Account

If you are interested in re-selling EarthWood products and want to apply for wholesale pricing, please fill out this form. Note: to qualify for wholesale pricing, re-sellers must place orders of $150 or more.

Company Name

Full Name

Shipping Address

City

State

Zip Code

Phone Number

Email Address Required

State Sales Tax License Account Number

Requested Password for Wholesale Account

Billing address the same as your mailing address? If so, you do not need to fill out the remainder of this form.

Billing Address

City

State

Zip Code

Comments/Questions Required

Requesting a Wholesale Account

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