Wholesale Account Registration

If you would like to open a wholesale account with SparkleMax^tm, please complete the following information. Please note that all wholesale accounts are required to have a valid resale license number on file. For your request to be processed please download and fax the completed resale certificate back to us. Click here to download the resale certificate now.

* Required information.

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Company Name *
Contact Name *
Address *
Phone Number *
Fax Number
Email Address *
Create User Name *
Create Password *
Distribution Rep
If you have already completed your resale certificate please attach it now.