Wholesaler Registration

Please create an account on our website before completing your upload. Fields with a * are required. If you have questions, call 706.543.3018 or email info@shoelacesexpress.com.

First Name*

Last Name*

Email*

Phone Number*

Business Name*

Business Website

Street Address Line 1

Street Address Line 2

City

State

ZIP

Have you signed up for an account on www.shoelacesexpress.com?*

In the upper right corner of our site, click on "Create account" and follow the prompts.

Upload your completed Certification of Exemption form*

Upload your completed ST-5 Certification of Exemption form (GA) or your state's completed exemption certificate:

Drag and drop files here or

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