Products for Independent Living, Blind, Low Vision, Deaf, Physically Challenged

CALL 800-428-6673 | E-MAIL barryg@seemorevision.com

Main Page > Your Account > Create New Account

Create New Account

Thank you for your interest in becoming a dealer / wholesaler. In order to become a dealer / wholesaler, please create an account by completing the form below and submitting it to us. Additionally, you must provide us with the following information (fax 631-752-0689):
- Copy of resale certificate or federal tax id
- one banking and three business references
Your account will only become active once we receive required information from you and approve your new account.

Account Information
Email Address (this will be your log in id) Sign up for email updates	Password (the password is case sensitive)

Billing Information

First Name

Last Name

Company Name

Phone Number

Address (must match credit card billing address, we do not ship to P.O. Boxes, APO/FPO)

City

State

Zip/PostCode

Country

Shipping Information (Only required if different from Billing Address.)
Orders placed with American Express MUST BE & WILL BE shipped to the billing address only