Wholesale Account Registration

We'd love to add your business to our list of satisfied customers. If you'd like to know more about The Rock Warehouse, please sign up below.

PLEASE NOTE:

TheRockWarehouse@outlook.com

To place an order we require a photocopy of your State or City Resale license to be E-mailed to us at the following address:

We are limited to selling to clients who are themselves in a business related to the rock, mineral and jewelry trade. To protect our wholesale customers, we do not sell on a retail basis.


 
*Company Name
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Owner First Name
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Owner Last Name
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Contact First Name
 Exceeded maximum number of characters.
Contact Last Name
 Exceeded maximum number of characters.
*Address (No P.O. Box)
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*City
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*State/Province
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Zip/Postal Code
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Country/Region A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Email
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
*Phone
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
  ex. 1234567890
Fax
 Exceeded maximum number of characters.
  ex. 1234567890
*Tax Resale ID or State Tax ID
 A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Type of Business
  
Retail Store
Show Dealer
Wholesale to Trade
Manufacturer
Interior Design
Website Store
Website
  ex. http://yoursite.com
Other
Explain
 Exceeded maximum number of characters.