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SHOP > WHOLESALE ACCOUNT SIGNUP

Thank you for your interest in Rocket Fist wholesale and distribution! To set up a wholesale account, please fill out four sections below. We'll review your information and notify you within 2-3 business days. Upon approval, your username and password will give you access to the wholesale-only section of our catalog, where you may view detailed product info and place orders online!

WHOLESALE INQUIRIES ONLY, but if you're not a retailer, still feel free to check out our products! LOOK LEFT for the Table of Contents.

NOTE: All the information on this page is collected securely.

* Required

Wholesale Account Information
* Store / Company Name
* Contact Name
* Phone
Fax
* Email		Your email also serves as your login username
* Password
Tax ID/EIN Number		Required for all US retailers
State Reseller's Number		Required for all CA resellers
Web Address
Do you want to be added to the RocketFist wholesale mailing list?		Yes      No
* How did you hear about us?
* Brief description of store / business
* Terms and Conditions		I agree to the Terms and Conditions.

Bill To
* Accounts Payable Contact		First Name:
		Last Name:
* Address 1
Address 2
* City
State/Region
* Zip
* Country		All International Orders are subject to our Overseas Shipping Policy

Ship To
Same as Bill To
* Ship To
* Address 1
Address 2
* City
State/Region
* Zip
* Country		All International Orders are subject to our Overseas Shipping Policy

Payment
Select the payment method you wish to be your default. You may change how you pay anytime you place an order.
* Default Payment Type		< select payment type >Credit CardC.O.D.CheckIntl Money OrderPayPalWireOther
Credit Card
Credit Card Type		< please select >VisaMaster CardAmerican ExpressDiscover
Credit Card Number
Expiration Date		< month >January February March April May June July August September October November December / < year >2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Security Code
Name on Card
PayPal
Pay Pal Account