Armchem International Corp.

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Wholesale Application

Please remember the email address and password you enter, as that information will be required to login as a wholesaler if your application is accepted.

* Indicates a required field.

Prefix:

* First Name:

* Last Name:

* Company:

* Address:

* City:

* State:

* Postal Code:

* Email Address:

*Phone:

* Fax:

We will be emailing your activation notice to this email address.

Shipping Information

Check here if Shipping Address is the same as Company Address above.

* Company:

* Address:

*City:

* State:

* Postal Code:

Business Information

* Class of Business:
Proprietorship Partnership Corporation

* Corporation Name:

* State Resale Tax Number:

Some states may require the submittal of an actual sales tax certificate to Armchem International Corp. Please fax your certificate to 954 735-0097. If you are unsure, please feel free to contact us at 1 800 886-0423.

Length of Time in Business:
year(s)

* Approximately how many employees work at your facility?:

* Type of Business:

Comments

Account Information

* Term Requested:
Credit Card Net 30
A signed credit application will be required for net 30 day terms.
We will contact you and provide you with the proper forms to
complete the credit process.

* Requested Password:

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3563 NW 53rd Ct. Fort Lauderdale, FL 33309 © Copyright 2008-2012 Armchem, Inc. All Rights Reserved. Developed in and hosted by CommerceV3.