Register Wholesale Account - The Plug Distribution

Registration Form

Name(Required)

First Last

Business Name(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Website

State Sales Tax ID(Required)

Federal Tax ID (EIN)(Required)

Business License Documentation

Accepted file types: pdf, jpg, Max. file size: 4 MB.

Username(Required)

Password(Required)

Enter Password Confirm Password

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How Did You Hear About Us?(Required)

Tell Us A Little About Your Business(Required)

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Payment Verification(Required)

By Checking this box you understand and agree that The Plug Distribution may and will contact you especially if you are a new customer to verify payment processes and shipping address. If we cannot make contact within 48 hours, your order will be canceled. . This may include but is not limited to requesting a photo of you holding up your identification. A photo of your store. The name of the person that is accountable for signing for and receiving your shipment. Your submission here is your "Purchase Order" and still needs shipping info and cost added at this point. The Plug Distribution has the right to refuse any purchase order or to do further business with any business at their discretion at any time.

This field is for validation purposes and should be left unchanged.

Register Account

Registration Form

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