Wholesale Application

Please fill out the form below to become a Wholesaler. You must upload your Resale Certificate and be approved before your Wholesale Account can be created.

Name(Required)

First Last

Company Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Resale Certificate(Required)

Please upload your resale certificate, this is required to receive a wholesale account.

Drop files here or

Accepted file types: doc, jpg, png, docx, pdf, Max. file size: 100 MB, Max. files: 3.

Contact Visionary Waters Today

For All Sales Inquiries Please Fill Out The Form Below or Call (562) 313-1870 For Assistance: