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Wholesale Account Application


Thank you for your inquiry about setting up a wholesale account. Please submit the information below and we'll get back to you within 72 hours.


 
  

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


Tax Exempt Number

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

 


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Nexis Emergency Solutions, Inc.
7567 Amador Valley Blvd, Ste 200 Dublin, CA 94568
(888)545-SAFE    sales@nexisemergencysolutions.com
     

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