WHOLESALE APPLICATION - PHA Wholesale Distributor

Please complete our application, which is attached, to start the procedure. We will quickly register your firm in our wholesale program if it meets our requirements.
To guarantee adherence to relevant legislation, we also respectfully ask for a copy of your resale permit. For accelerated processing, please submit your application and send the copy of Resale Certificate or EIN to info@phawholesale.com at the same time.

User Email *

First Name *

Company Name *

Last Name *

User Password *

Confirm Password *

Street Address *

City *

State *

Zip Code *

Country *

Street Address 2 (Optional)

Website

Tax ID *

Phone Number *

Do you sell on Amazon? *

Already send the Resale Certificate or EIN to info@phawholesale.com *