Ship To:

Bill To:

Additional Customer Information: This information is required. Your application approval can be delayed if information is missing. In addition to filling out the below information, please fill out our UPDATED 2018 Retailer Application. Once it is completely filled out please email to 
Tax Resale Number
Tax Resale State
What kind of store are you?
Storefronts (including all marketplace storefronts)
By default, Wildkin's cost of shipping will be added to your order. Please note that until you are approved to use your own shipping account, you will be billed Wildkin's shipping charge as shown during checkout. Once approved, when checking out you will see Customer Shipper Account options (Ground, 2nd Day, etc.), and only if you choose one of the Customer Shipping Account options will your shipping account be used to ship.

If you prefer that we ship your orders using your shipping account please let us know, and to help us get you setup properly, please complete the following:

Your Shipping Company
Shipping Company Account #
By default, orders must be paid for with credit card at time of checkout. If you have been setup with terms or would like to be, please select the Payment Terms option below and we will be in touch to setup your account properly. How would you prefer to pay for your orders?
Credit Card Payment Terms