Wholesale Account Request

To become a vendor of Polaris Rising products, please fill in the form and submit.

Most accounts are approved within 48 hours, but may take up to a week.

Once your account is approved, you will receive an e-mail with account information. You must be logged in to see prices and place an order.

There is a $75 minimum order.

For more information, please see our FAQs page.

Business Name

Owner's First Name

Address

City
State
Zip Code
Phone Number

E-Mail

Tax ID #


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