Wholesaler Application

If you’re already an approved Hollywood Poochie retailer,
please click here to login.


* Indicates required fields

Your name:*
Business name*
Billing address:*
Postal / Zip Code*
Phone:
-
E-mail:*
Your business type is
Current business license (if applicable)
Resale number (if applicable)
Shipping address (if different than billing):
Postal/Zip Code*
Type the characters you see here: