Registration – Hershel and Sons

Application

You must have an account to access the wholesale portal. After submitting your information your application will be reviewed. If approved, you will receive an e-mail confirming your account along with your login details. Any further questions feel free to contact us.

Business Information

Legal Name of Business *

Legal Owner First Name *

Legal Owner Last Name *

Legal Owner's Phone Number *

Legal Owner's E-mail *

Website

Billing Address

Address 1 *

Address 2

Town / City *

State / Province *

Postcode / Zip *

Country *

Shipping Address

Ship To Different Address

Company Name *

Attn:

Address 1 *

Address 2

Town / City *

State / Province *

Postcode / Zip *

Country *

Business Contact (Optional)

If the contact for your business is the same as the legal owner then leave this section blank. Otherwise, fill out the fields that apply.

First Name

Last Name

Position (Office Manager, Sales, etc;)

E-mail

Phone Number

Create Login Information

You will use these details to access your account if approved.

Confirm Email *

Requested Username *

Requested Password *

Confirm Password *

Please verify that you've entered the correct details. *

I have verified that all information is correct.