Account Application

Welcome to B&P Lamp Supply!

Thanks for taking the time to apply for an account with B&P Lamp Supply. A customer service representative will contact you within 24 hours during the business week (Monday thru Friday) to follow up on your application and to assist you in logging onto our website.

We also want you to know just how respectful we are of your privacy. We promise not to share the information you gave us with anyone. We will treat your account information and especially your email address like it was our own. You have our promise.

Apply for your B&P Lamp Supply account:

If you already have a wholesale account with us, please log in.

Title:

Company Name:

required

Your Name:

required

Position:

required

E-Mail Address:

required

State Resale Tax Number:

required

Federal Employee Identification Number:

required

Bill To Address

(Invoices will be mailed here)

Billing Street Address:

required

Billing City:

required

Billing State:

required

Billing Zip Code:

required

Billing Country:

required

Ship To Address

(Please, no P.O. boxes)

Shipping Address Same As Billing

Shipping Street Address:

required

Shipping City:

required

Shipping State:

required

Shipping Zip Code:

required

Shipping Country:

required

Phone:

required (no spaces between numbers)

Fax:

(no spaces between numbers)

Company Category:

required

Brief description of business and special instructions:

How did you first hear about us?

Online search for "Best Lighting Parts"
From AntiqueLampSupply.com
Found Brand on Ebay.com
enLIGHTenment Magazine
High Point Furniture Market
Dallas Lightovation
Found Brand on Amazon.com
Referred from a Friend
Found on Facebook
Found on Twitter
required

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