Customer Create

Thank you for your interest in Doseez. We know your customers will LOVE our products. In addition to fair pricing and excellent customer service, becoming a Wholesale client of Doseez provides you with unparalleled support to help you grow your business.

If you are interested in opening a wholesale account, please fill out the wholesale form. Once your account has been approved, we will provide you with a log-in that will allow you access to our wholesale pricing information.

NOTE, if you would like immediate/quicker access to your wholesale acount and ordering, please be sure to fill out the RESELLER ID / EIN field at the bottom of this form

Email Address (required)

Password (required)

Confirm Password (required)

Shipping Information

Shipping Information Same as Billing

First Name (required)

Last Name (required)

Company (Optional)

Email Address (required)

Phone Number (required)

Address (required)

Address 2

City (required)

State/Province (required)

Country (required)

Zip/Postal Code (required)

Billing Information

Billing Information Same as Shipping

First Name (required)

Last Name (required)

Company (Optional)

Email Address (required)

Phone Number (required)

Address (required)

Address 2

City (required)

State/Province (required)

Country (required)

Zip/Postal Code (required)

Wholesale/Reseller Information (If Applicable)

If you are a business, this field is required. Without your reseller ID, your account won't be upgraded to reflect wholesale pricing.

Reseller ID