CONTACT INFORMATION

If you own a business and would like to receive the wholesale price list, please fill out the form below so that we can verify your wholesale status.

WHOLESALE ACCOUNT REQUEST FORM:
BUSINESS NAME:    
CONTACT PERSON:   E-MAIL:
ADDRESS:   CITY:
STATE:   ZIP:
PHONE:   FAX:
BUSINESS LICENSE# OR RESALE TAX#

        

If you have already received a wholesale account and price list, you may place your order by Phone: (435) 644-2390, Fax: (435) 644-8177 or filling out the E-mail form below.

WHOLESALE CUSTOMER ORDER FORM:
NAME: E-MAIL:
ADDRESS: CITY:
STATE: ZIP:
PHONE: FAX:
ACCOUNT# TAX#
ORDER:

        

If you are not a business owner and would like to know how to purchase some of our products, fill out the form below and we will be happy to provide you with the location of a retailer near you.

RETAILER LOCATION INFORMATION:
NAME: E-MAIL:
ADDRESS: CITY:
STATE: ZIP:

        

WESTERN HILLS
288 West Center, Kanab, UT 84741
Phone: (435) 644-2390 / Fax: (435) 644-8177 / E-mail: western@xpressweb.com