Wholesale Application

Please complete the wholesale application below to register as a retailer and receive discount pricing. A representative will reach out to you if we need additional details before approving your account.

Company Name *

Username *

User Password *

DBA.

User Email *

Confirm Password *

Street Address *

City *

State *

Zip Code *

Phone Number *

DUNS #

EIN

Resale Certificate # *

Company Website

Hours of Operation *

Special Instructions for Truck Shipment *

Type of Business *

Number of Locations *

Years in Business *

Please list other brands in this category that you already sell

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How did you hear about R&M International? *

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Please list any trade shows that your company attends *

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Would you like to be added to our mailing list for new products and promotions? *

Would you like for a sales professional to reach out to discuss our product offerings? *

Preferred Payment Method *

Credit Card
Check
ACH

Would you like to apply for credit terms? *

We will send you a separate credit application.

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