Only Merchant customers can apply on this page. All Retail customers must apply on the Retail Customer Profile page.

General Info

Please set a username for your account. Please do NOT use your email for this as it cannot be changed at a later date.

Billing Address

The Billing Address is usually where your credit card statements are delivered (can be a post office box).

2-letter code (AL, TX, etc.)

Shipping Address

Shipping Address is the location where you want your products delivered (must *not* be a post office box).

2-letter code (AL, TX, etc.)

Company Details

Have a website? Give us the URL so we can check it out!

Tell us a little bit about who you are and what you do.