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Wholesale Account Application


Thank you for your interest in setting up a wholesale account. Please enter the information below and click submit. We will also need forms below filled out and signed to set you up with a wholesale pricing account.

All wholesalers are originally set up with credit card terms but once approved, can apply for an open account for net terms payments.
 
  

Create your Login Information

This will be the login and password you will use to gain access to wholesale prices once your account is approved. 
Email*
Password*
Confirm Password*
  

  

Customer Information

First Name*

Last Name*

Company

Address*


City*

State*
Zip Code*

Email*

Phone*

* Required Information  

  

Website Address


CA BOE Tax ID Number

All CA based re-sellers are required to have a CA Sellers Permit/EIN Number to set up an wholesale account. All applicants outside of CA that are planning on shipping to customers inside CA need to read the letter below to understand how the Wholesale Program works with the CA sales tax. 

Business Plan

Please give us a short description of how you plan to offer our products to your customers including any industries your business focuses on. This will help us understand who you are and how we can help you in the future. 

  

Note: To protect the integrity of our wholesale program, we do not normally allow individuals to sign up without having a business entity and the corresponding paperwork. Based on your business plan, we may make an exception. Please fill out the form above and submit it. If you have any questions, you can contact us at (925) 829-0350 or sales@nexisprep.com. 

 


Security Code

For security purposes, we ask that you enter the security code that is shown in the graphic. Please enter the code exactly as it is shown in the graphic.
Your Code
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California Based Wholesalers



All California based wholesale applicants MUST click this PDF and fill out the forms and submit them to complete their application to the NPS Wholesale Program.
Non-California Based Wholesalers



All Non-California based wholesale applicants MUST click this PDF and fill out the forms and submit them to complete their application to the NPS Wholesale Program.

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Nexis Preparedness Systems
290 Lindbergh Ave.   Livermore, CA 94551
(925) 829-0350    sales@nexisprep.com
     

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