Wholesale Account Application

Name

First

Last

Credentials

Account category

Business name

Shipping Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is the billing address the same as the shipping address?

Yes
No

Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email

Phone

Ordering Email (if different from above)

If a staff member orders for your company, enter their email here. This let's them use their email to place orders.

Name of Staff Member Authorized to Place Orders

First

Last

Enter the name of the staff member who is authorized to place orders for your company and who uses the Ordering Email.

Phone

If secondary ordering email is different than application email, you must enter a different phone number.

Website / URL

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Resale Certificate Number (California, Indiana, and Washington)

All California, Indiana, and Washington customers must complete a Resale Certificate form and provide a reseller number for tax purposes. If we’ll be shipping your orders to California, Indiana, or Washington your Resale Certificate allows you to purchase products from NBI without having to pay sales tax. If you don’t have a reseller number on file with NBI, by law we’ll have to charge sales tax.

Upload Your Resale Certificate (if applicable)

Drag & Drop Files, Choose Files to Upload

Internet Sales and MAP Policy, Terms of Service, and Privacy Policy

I agree to NBI's Internet Sales and MAP Policy, Terms of Service, and Privacy Policy

Is there anything else you'd like to tell us?

Wholesale Account Application

Your purchases help us support these charities and organizations:

Your purchases help us support these charities and organizations: