WIPER EXPRESS

New Customer Account Application  |  autotexwipers.com

Business
Contacts
Address
Account
Submit
1
Business Information
Please enter your company name.
Please select a business type.
2
Primary Contact
Required.
Required.
Please enter a phone number.
Please enter a valid email address.
3
Department Contacts
Shipping
Accounting
Sales / Purchasing
4
Address Information
Billing Address
Please enter your billing address.
Required.
Required.
Required.
Shipping Address
Additional location addresses can be provided during account setup.
5
Account Preferences
Please select a preferred shipping method.
Please select a payment method.
Net terms require a credit application. Please complete our Credit Application → after submitting this form. Your account request will still be processed.
Click to upload — PDF or image accepted
6
Product Interest
By submitting this form, you are requesting to open a wholesale account with Wiper Express / Autotex Wipers. All accounts are subject to approval. Wiper Express reserves the right to approve or decline account applications at its sole discretion. Approved accounts are subject to our standard Terms and Conditions of Sale, including pricing, returns, and order minimums as communicated by our sales team. Tax-exempt customers must provide a valid exemption certificate. Net terms accounts require a separate credit application and approval. Information submitted is used solely for the purpose of account setup and communication.

A confirmation will be sent to your email. Our team will follow up within 1–2 business days.

Application Submitted!

Thank you for your interest in becoming a Wiper Express account holder.
Our team will be in touch within 1–2 business days.

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