Complete the form below to register for our wholesale website
and to be added to our mailing list.
Please note our company only sells to legitimate retail businesses, preferably in a "brick & mortar" store or an approved online business. We make every effort to verify the legitimacy of all businesses upon registration. You can help speed up the process of verification by providing us with your actual business address, phone number and website information. Those registering as a business listed or verified at a residential address may be asked for further documentation as proof of a qualified retail business. Dashwood's reserves the right to deny access to their website for any reason.
Company Name:
Contact Name:
Address Type:
Address:
Address 2:
City:
State/Province:
Zip Code Numbers only please. Do not use
spaces or dashes in phone numbers.
Phone:
Fax:
Email:
Confirm Email:
Web Address:
Facebook Page:
Company Type:
If other, please specify:
Tax ID:
Tell us a little
about your business:
How did you hear about us?
If other, please specify:
Are you an existing customer?
Account #: