Create Wholesale Account

Ship To: same as billing

Business Title:

First Name:

Last Name:

Email Address:

Phone Number:

Fax Number:

Company:

Address:

Address 2:

City:

State/Province:

Other State/Province:

Zip/Postal Code:

Country:

Bill To: same as shipping

Business Title:

First Name:

Last Name:

Email Address:

Phone Number:

Fax Number:

Company:

Address:

Address 2:

City:

State/Province:

Other State/Province:

Zip/Postal Code:

Country:

Additional Customer Information

Kheops Customer Number: This number will be assigned when your account is approved.

Valid Resale Tax #:

Federal ID # (EIN): (For AK, DE, MT, NH, OR only)

Store Open since or (Store Opening):

Do you own a Internet Business ? https://:

Any online retailer selling & shipping our products to the state of California must fill out, sign, and return this CA Prop 65 Contract or your registration application will be denied. Click here to download the contract. Email it to: [email protected]

Your Alternate phone number:

Type of Business?:

How did you find us?:

Do you have a Brick and Mortar store?:

Would you like to be contacted by an Account Executive?:

Tax document:

Allowed file types:
gif, jpeg, jpg, png, and pdf
File size can not exceed 10 MB.

I agree to the Terms and Conditions

Copyright © 2026 KHEOPS INTERNATIONAL INC. Powered by Miva