Wholesale Request Form

Toll Free Number
1-800-420-5166
8AM-5PM Pacific Time M-F

Visit our sales counter
3435 Mission Ave.
Carmichael, CA 95608

Fill out Wholesale Registration Request form and submit it to Batteries4Radios.
Someone will contact you within 2 business days.

	Customer Information (* Required Field)
Company:
*First Name
*Last Name
*Billing Address
*City
State
*Postal Code
*Phone Number	ex. 555-555-5555
Fax Number (optional)
*Email Address
Login Name:	(Your email address on record is used as your login name)
Password:
Re-enter Password: