Account Application

Hab+Dash by Fil-Tec Wholesale Application

Wholesale Application Form

Please fill out the following questionnaire so we can customize your online shopping experience.

Billing Address (if different from above)

Person to contact regarding accounts payable if other than the owner

Business Interests

Tell us any other features that your business offers: (Check all that apply)

How did you hear about us?: (Check all that apply)

Tax Information

Business License, Sellers Permit, Tax Certificate, Business Certificate, Certificate of Exemption

For any questions/concerns, please reach out to

Referral Information