Wholesale Registration

DISCLAIMER: US HOSE & COUPLING ONLY SELLS TO DISTRIBUTORS AND QUALIFIED OEM'S

* If you are not a distributor or an OEM, please click the button below and we will refer you to one *

Click HERE to be referred to a distributor

WHOLESALE REGISTRATION

Registration

Username*

Email*

Password*

Confirm Password*

Customer billing address

First Name (optional)

Last Name (optional)

Company (optional)

Address line 1 (optional)

Address line 2 (optional)(optional)

City(optional)

Postcode / ZIP (optional)

Select billing country (optional)United States (US)

State / County or state code (optional)

Phone (optional)

Customer shipping address

Copy from billing address

First Name (optional)

Last Name (optional)

Company (optional)

Address line 1 (optional)

Address line 2 (optional)(optional)

City (optional)

Postcode / ZIP(optional)

Select shipping country (optional)United States (US)

State / County (optional)

Tax ID *

REQUIRED - Upload Tax Exemption Form(s) - TO ATTACH YOUR FILE, CLICK HERE --> *

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US HOSE & COUPLING REQUIRES A $50 MINIMUM PURCHASE FOR ALL ORDERS