Thank you for your interest in becoming a White x White dealer.

Fill out and submit the Dealer Registration form below. We'll be in touch with more information soon.  Please note we'll only ship to a retail store or receiving warehouse.  If you include a residence as your ship to your registration will be rejected.  Thank you for your cooperation.

PREVIOUS DEALERS: Due to improved security on our new website, you will need re-register. We apologize for any inconvenience.

Business Information

Name of business*

Contact first name*

Contact last name*

Business type* Retail Store / Stocking Dealer
Designer / Non-stocking Dealer

Email*

Phone*

Sales Tax ID#*

Business description (100 chars left)*

Upload Your Sales Tax Certificate (click the folder below to add your file)*

 

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Shipping Information

NOTE: This must be a commercial address!

Ship to name*

Ship to address*

Ship to city*

Ship to state*

Ship to zip*

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Billing Information

Bill to name*

Bill to address*

Bill to city*

Bill to state*

Bill to zip*

Anti-spam Code

submit

Thank you for registering to become a White x White Dealer

We appreciate your interest and we'll be in touch within 24 hours.

-Kristen White

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