DWC Specialties - Account Application

LET'S GROW TOGETHER

Looking to setup an account with us? It’s Easy!

Fill out the following form
Submit your tax form
Make sure to call us with credit card or ACH information for your first order

Once our team receives this information we will send you an email with your account login information.

**PLEASE NOTE**
When filling out the Wisconsin tax form you must provide your business name/address and BOTH your Resale # and signature. Your Resale number should start with a 456
If you are a tax-exempt organization you must provide your business name/address and BOTH your CES # and signature. Your CES number should start with a 008

If you have any questions send us an email, we will be happy to help!

order@dwcspecialties.com

Business Name*
Contact Name*
Contact's Title*
Email Address*
Phone Number*
Business Address*
Street Address City State / Province / Region ZIP / Postal Code
Preferred Payment Method*
*First orders will require a payment method on file to be processed prior to delivery.
Delivery Hours/Instructions*
*This information helps our drivers be more efficient when delivering your order.
Where did you hear about us?*
Tax Form*
- If you are a Wisconsin business please select this option to confirm you have submitted the WI Tax Form found above
- If you are NOT a Wisconsin business please select this option, and we will request your tax form to be sent separately
*This form needs to be filled out correctly before we can do business with you. Please make sure to read what information is needed from you above.
Questions and Comments
Phone
This field is for validation purposes and should be left unchanged.

Get started with DWC

LET'S GROW TOGETHER