Dealer Registration Form

Complete and submit the form below to register your business for dealer purchasing. Once received, HH Specialty will provide you with a Dealer password to give you access to our dealer pricing website to place orders. All dealer sales are paid at point of purchase. Most credit cards and payment options are available at checkout. Call 704-838-6658 if you want to setup a Net 30 Days credit account.

Company Name

Name of Company Official

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Type of Business

Select Type of Business Below

Sales Tax Status

Select your Sales Tax Status Below

Phone

(###)

###

####

Dealer Registration Form

Specialty Door Stops by HH Specialty Distributors

Call or Text 704-838-6658 for Support, Quotes or Ordering by Purchase Order