Bulk Distributor Registration


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Vendor Application! Please fill out the form below to gain access to the Adult Wholesale inventory system to place an order. This system is for Adult Retailers Only. Your information will not be shared with any third parties. Our website is integrated with 3rd party shopping carts that are friendly towards adult companies. It is to verify you are a business and for shipping purposes. An email will be sent to you confirming your login id, password. You will not have access to place an order until your application is approved. We may contact you by email or telephone to verify information. We are currently not accepting new registrations until we revamp our service. In the meantime, please contact us for further information.

* = Required field

First Name:	*
Last Name:	*
Password:	(minimum 5 characters) *
Company:
Address 1:	*
Address 2:
City:	*
State:	* State Other:
Zip:	*
Country:	*
Phone:	*
Fax:
Email:	* Email Address is required for confirmation!
Company Site Name:
Company URL:
Tax ID#:	* Business Tax EIN# or Social Security# Required for tax purposes
Sales Tax ID#:	* State Sales TaxID# if applicable. Required for tax purposes
About Your Business:	* Please describe your business establishment.(Required For Approval)
	Please Acknowledge you are over 18 and read our policy on adult materials for resell and your local community standards. For Security Purposes Please enter the above letters/numbers appearing in the image:
Submit: