RHS Parts

Firm/Business name is required
Billing Address is required
City is required
State is required
Zip is required
Phone is required
Email is required
Specify if Shipping Address is a residence
Type of Business is required
Method of Statement/Invoice delivery is required
Statement/Invoice email is required
Statement/Invoice fax number is required
Signature is required

REQUEST TRADE or WHOLESALE ACCOUNT

Send RHS catalogs via
USPS to this address

Is the above street address a residence?

Yes

Additional shipping address

Incorporated?

Yes

Statement / Invoice should be:

Emailed

Faxed

Mailed

Statement / Invoice will be mailed to above billing address.

Additional documentation is required to verify the name and type of business,
shipping address, phone number, and fax number.

Please attach at least one of the following (acceptable file formats: .gif, .jpg, .pdf, .png)

Advertising Literature

Business Card

Business Invoice

Company Invoice

Yellow Page Ad

Upload Image(s)

In the event if becomes necessary to commence legal action to collect amounts due,
Applicant agrees to pay all collection costs, court costs, and reasonable attorney’s fees.

I agree and certify that the above information is correct and should be relied upon for the stated purpose.

Credit Card account requests are generally approved same day, Monday - Friday.
RHS will keep the above information confidential. It will only be used to set up a credit card account.