Apply for a Wholesale Account

Use this form to apply for a wholesale account.

Customer Information

First Name Required

Last Name Required

Email Required

Shipping Address

Address 1 Required Address 2 Required

City

Country Required

State/Province

Zip/Postal Code

Company Name Required

Phone Number for Shipping Purposes Required

Business or Professional License Number Required

Upload Your Business or Professional License. If you are reselling House of VXN products, you are eligible for Tax Exempt purchases. Please provide that info here or in the box above.

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