AV Express - Wholesale Application Form

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AV Express - Wholesale Application Form

AV Express offers wholesale pricing programs to companies and organizations who qualify. Qualifying organizations include resellers, distributors, manufacturers, schools, non-profits, government offices, and others.

The advantages of joining our include discounted prices on all of our premium products and added services such as order tracking, phone support, and purchase order availability. Please fill out the below application in detail and one of our representatives will contact you within two business days.

For immediate results, please fill out this form and call us toll free at (877) 302-8397 or click on the live chat button to the left and mention this form to an account representative. They will be able to process your application immediately.

Thank you very much for your interest in AV Express's wholesale pricing program.

Company Name
Business Category
	Choose a business category that best describes your business or organization.
First Name
Last Name
Job Title
Address line 1
Address line 2
City
State / Province
Zip/Postal Code
Country
Phone Number
	It is very important that you enter a valid number in this field. Invalid numbers will cause a delay in your application if we are unable to reach you.
Fax
Email
	It is very important that you enter a valid email in this field. Invalid emails will cause a delay in your application if we are unable to reach you by email.
Web Address
	If you do not have a website please enter N/A
Years In Operation
Federal Tax ID
State Tax ID
	Please enter your Federal and State Tax Payer's IDs. Some states refer to this number as Commercial ID, Reseller ID. If you do not have either please enter N/A.
Please tell us more about your company
	Please let us know what you do and describe why you qualify for a wholesale account with AV Express. Please include information such as what products you are purchasing and your purchase volume.
Please list your current Audio and Video sources
	Please list where you currently purchase your audio and video parts and accessories. Please also include information such as your current purchase volume from each vendor and what specific parts.