Wholesale Account/Access Request Application

Use this form to request access to view wholesale pricing. This will also give you access to order in wholesale pricing

I have an existing account please send me login information. (Please fill in the billing info bellow so that we can find your info.)

Please enter your email address*

Please enter a Tax ID number (State, EIN, PST, or GST)*

Billing Address

First Name*:

Last Name*:

Company:

Address*:

City*:

Country*:

Zip/Postal Code*:

Phone*:

Fax:

I have an online store. My addess is

You should receive login information within 48 hours. Most accounts will be created with in 2-12 hours.

Please enter the following code into the box provided. This is to stop spammers from registering.

If you have trouble with this code please email your information to and I will set up the account for you. -Greg

www.pietersmatinworks.com