If you are a wholesaler in any other state, please proceed with the form below (PayPal/Telecheck gateway):
Invoice or Order
Email
Business Name
Phone
Address 1
Address 2
City
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
Check Number
Amount
This above information will be forwarded to a site operated by PayPal, with ACH check processing by Telecheck.
Note: Haus Alpenz does not receive or have any access to client checking details taken by PayPal to process your payment.
I am authorized to make payment
