Windowcanvas Wholesale

New Account


DISTRIBUTOR INFORMATION

Please provide your business information below. We will contact you prior to opening your account. If you are opening a drop-ship account, you may leave Shipping Info blank. Only verified businesses with valid tax ID numbers will be allowed to access our Online Wholesale section.

* = required field

General Info

Company Name: *

Contact First Name: *

Contact Last Name: *

Username (maximum length=15 characters) *

Password (maximum length=15 characters): *

Tax ID Number: *

UPS Shipping #: *


Billing Info

Address: *

Address2:

City: , State: Zip: *

Phone:

Fax:

Email: *

Shipping Info

Address:

Address2:

City: , State: Zip:

Phone:

Fax:

Email:

 


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