Establish a Wholesale Account

If you are interested in establishing a WSI Wholesale account, please fill out and submit this form, or you can download the PDF version which can be submitted via email.

It is our goal to make your WSI Wholesale account an asset to your business! Any suggestions and/or feedback in helping us reach and maintain that goal is appreciated. Please let us know how we can help.

Contact Info

Company Name*

Street*

Suite

City*

State*

Zip*
+

Phone*

Example: 480-968-1314

Fax

Example: 480-968-1314

Website Address URL

Example: www.wheelspecialists.com

Contact Email*

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Contact First Name*

Contact Last Name*

Contact Title/Position*

Accounting Email*

For invoices, statements, etc.

Accounting First Name*

Accounting Last Name*

Company Info

Type of Company
Corporation LLC
Partnership Sole Proprietorship

Federal I.D. Number
-

State Resale Tax I.D. Number

Click if purchase order numbers are required

Business Reference

Please provide a business reference that we may contact. (not yourself)

Trade Reference Company Name

Trade Reference Contact Name

Trade Reference Phone

Feedback

Preferred WSI Sales Representative (optional)

How did you hear about us?

Comments

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Required I agree to the WSI Terms & Conditions

of sale.*

Please click the box below.*

Fields marked with * are required.

Wheel Specialists, Inc. • 701 South Perry Lane, Tempe AZ 85288-2918 • Main: 480.968.1314 • Fax: 480.968.1396
Business Hours: Mon–Fri 7am–6pm • Currently closed on Saturdays (seasonal) • Closed Sun
Wholesale Orders: 480.222.7200

Wheel Specialists, Inc.

Establish a Wholesale Account

Arizona Business Requirement

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