Wholesale Registration

Wholesale Application

First Name*

Last Name*

Company

Address 1*

Address 2

City*

State/Province/Region*

Zip/Postal Code*

Country*

Daytime Phone*

Evening Phone

Fax

Tax ID/SSN*

Website URL

Login Information

Email*

Password*

Confirm Password*

Desired Pricing Level

Wholesale

Please describe your business, where our products will be sold, and any other pertinent information to your application. eg. Where our products will be sold, and any other pertinent information to your application.

Agreement

To order wholesale- please fill out the wholesale account application form- we will review and approve in 24 hours. You will receive a unique login password once approved. All wholesale sales are final.  SRP's must be honored within 10%.

You also agree to have or obtain a legal re-sellers permit before re-selling any PotentSea brand items.

The Answer is In the Sea!

I have read, understand, and agree to the above agreement.*

Wholesale Registration

Wholesale Application

Login Information

Desired Pricing Level

Agreement

Your Cart