Wholesale Application

Interested in becoming a wholesaler of our Starbase Atlanta products?  Follow these simple steps and we will contact you if we approve your wholesale account.

  1. Create an account.
    Go ahead. We’ll wait. Just remember to come back here when you’re done.
  2. Remember your USERNAME.
    Remember when you created an account? You will need that username for the form below.
  3. Fill out the form.
    Fill out all the info below (including the username you’ve registered with) and we’ll review your application.

Existing wholesalers may login here.

Please complete all required (*) fields

First Name *

Last Name *

Business Name *

StarbaseAtlanta.com USERNAME *

Your role/title in this business? *

Address 1 *

Address 2

City *

State/Province *

ZIP/Postal Code *

Country (if not US)

Phone Number *

Fax Number

Your Email *

Website *

Type of Business *
Briefly explain what type of business you operate

Federal Tax ID *

State Sales Tax Number *

How long have you been in business? *

What product lines would you like to wholesale? *

Any additional information we should know?