Wholesale Request Signup

Thank you for your interest in our Alphabotz product line. We offer wholesale pricing and online ordering for approved retailers via a password-protected area on our Alphabotz website. To request a password to access the wholesale area on our website, please fill out and submit the electronic form below. A member of the Alphabotz team will review your request and contact you shortly. If you have any questions about wholesale pricing, please contact us at wholesale@alphabotz.com

BUSINESS INFORMATION ( * denotes required field )

Business Name:*

Tax ID #:*

Tax Exempt: yes no

Street Address:*

City, State, Zip:*

Mailing Address (if different):

City, State, Zip:

Website URL:

Years in Business:

How did you hear about us?:

CONTACT INFORMATION

Name:*

Email:*

Phone Number:*

Fax Number:

AGREEMENT

By submitting the information above and clicking on this box, I am agreeing to the Terms & Conditions and certifying that the information listed above is accurate and complete to the best of my knowledge.
Please agree to the Terms & Conditions before submitting your application.