New Customer / Wholesale Account Form

Sign up as a wholesale customer to access discounted prices, a tailored wholesale shopping experience, and additional benefits. Complete the form below to proceed.

Primary Contact Details

First Name*

Last Name*

Email*

Title

Business Details

Address*

Apartment, suite, etc. (optional)

Country/Region*

City*

State

Zip Code*

Company*

Website

Phone Number*

More Details

Aprox Annual Product Usage/Demand (Dollar Value)*

Which Kable Kontrol Canada Product Categories Are You Interested In?*

How Many Employees at Your Company*

Are You An End User / Re-seller?*

How Do you Goto Market? (E-Commerce or B2B)*