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      To start a wholesale account with EVB fill out and submit the form below...
Company Name     
California Resale Number   
First Name     
Middle Name   
Last Name     
Phone     
Fax   
Email     
 
First Name     
Middle Name   
Last Name     
Phone     
Fax   
Email     
 
 
Address 1     
Address 2   
City     
State/ Province   
Country   
Zip     
 
Address 1     
Address 2   
City     
State/ Province   
Country   
Zip     
Account Type:
You Heard About Us from: 
Please allow 24 hours for EVB to review your account information. Once your request has been approved we will send you a confirmation email with directions for accessing your account.
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