Application to Purchase Wholesale

If you are interested in purchasing wholesale from Advantage Wireless, please fill out the application below.  Upon approval, we will email you a link to our wholesale website and set you up with a customer account.  All accounts are shipped on a prepaid basis unless credit approved.  We look forward to doing business with you.

Applicant Information
Contact Name:
Business Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Accounts Payable Contact
Contact Name:
Direct Phone #:
Contact Information
Daytime Phone:
Evening Phone:
Email:
 
Business Information
Business Type:
Years in Business:
Website Address:
Sales Volume: (USD)
Tax ID Number:
Other Information
Comments:


                           


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