Benjamin International is strictly a wholesale company.
Please fill out the information below. A Tax Identification Number is required for an account.

NEW CUSTOMER APPLICATIONS WILL BE
REVIEWED IN ONE BUSINESS DAY.

You will be notified by email that your account has been approved.

NOTE: Registrations placed after 6pm EST on Friday night will not be reviewed until Monday morning.

Title First Name* Last Name* Suffix Name * Required Field

Company Name:

Company Phone Number:

Address 1:

Address 2:

City:

State:

Company Website:

Type of Retail Store: Please Select Yoga Studio Boutique Gift Store Toy Store Smoke Shop Seasonal New Age Store Other

E-mail Address:* (this will be used to sign in to your account) Password:* Minimum password length allowed is 6 Re-enter Password:*

Select Challenge Question and enter the response. This will be used if you forget your password. Question: What is your pet's name? What was your school mascot? What is the name of your favorite teacher? Answer:*

What format do you want your e-mail receipts in? HTML Text