Please use the form below to create your wholesale account. Your information is subject to approval.
FULL NAME (Required)
COMPANY NAME (Required)
PHONE NUMBER (Required)
ADDRESS (Line 2)
LICENSE NUMBER (If Applicable)
CA RESALE CERTIFICATE *ONLY FOR CALIFORNIA CUSTOMERS*
You can only upload jpg, png or PDF files limited up to 4mb.
WEBSITE OR INSTAGRAM "Related with the business" (Required)
By submitting this form, I agree that Buy Quartz Online can use my information for verification purposes.
Username or email address *
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