Apply for a Wholesale Account

Please fill out all required fields below and Upload your Resale Certificate and ST-3 Form to the application. Our team will review all provided information and also reach out directly if additional documentation is required.
After submission, please allow up to 3 business days, you will be contacted with an Invitation Email to activate your WholeSale Account.

Customer Information

First Name Required

Last Name Required

Email Required

Shipping Address

Address 1 Required Address 2 Required

City

Country Required

State/Province

Zip/Postal Code

Resale Store Name Required

Website Required

Phone Number Required

Tax ID/ABN/VAT Number Required

Upload Resale Certificate

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Note Required

I have read and accept the Terms and Conditions, Here, for NisakuJapan.com

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