Wholesale Customers Registration

Please fill in this form if you are interested in becoming a retailer of Home Bazaar products. We are interested in partnering with retailers, distributors and other resellers.. We will also be accepting applications from Online retailers for our drop ship program. A company representative will contact you with more information.

• Account Info

• Username*
• Account Type* Regular Wholesale PriceWholesale Price + Drop Ship FeePlease select the account type that you wish to register.
• First Name
• Last Name
• Company Name
• Password*
• Repeat Password*
• E-mail*

• Contact Info

• Phone Number
• Contact Information and Tax ID*

• • Billing Address

  • Country* Select an option…United States (US)
  • First Name*
  • Last Name*
  • Company Name
  • Address*
  • Town / City*
  • State / County*Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)
  • Postcode / Zip*
  • Email Address*
  • Phone*
  • Ship to a different address?

• • Shipping Address

  • Country* Select an option…United States (US)
  • First Name*
  • Last Name*
  • Company Name
  • Address*
  • Town / City*
  • State / County*Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)
  • Postcode / Zip*
• *

• Send these credentials via email.