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New Customer Registration Form

Thank you for choosing AZ1 Wholesale! To get started and access our exclusive pricing, please fill out the form below. Your information is safe with us and will only be used to improve your experience with our services.

Please note that our approval process can take up to 48 hours. If you have any questions, feel free to reach out to our support team at info@az1wholesale.com.

Customer's First Name
Customer's Last Name
Your Business/Company Name
Street Address, City, State and ZIP 
xxx-xxx-xxxx
Upload a photocopy of your Arizona transaction privilege tax (TPT License)