New Account Application

New Account Application

Thank you for your interest in becoming a partner with VIVA 5. We look forward to doing business with you and for the opportunity to provide you with the finest selection of products within our portfolio of brands. Once you have completed the New Account Application, please email to

Once we process your application, a member of our Customer Service Team will call to provide you with your account number and answer any questions you may have prior to placing your initial order.

We welcome you to contact our Customer Service Department should you have questions or need additional assistance.

VIVA 5 New Account Application.PDF


Phone: 754-732-1239