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Wholesaleadmin2022-11-14T07:00:18+00:00

Wholesale Application

Business Name *

Contact Name *

First

Last

Contact Person Title *

Contact Person Email *

Website / URL

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

How do you sell products? *

online
in-store
other:

If Other Please Explain

Briefly Explain Your Business *

What is your primary business focus? *

Physical store where customers come to your location
E-commerce business where customers use your website to make a purchase

If your primary business focus is as Physical Store, which of the below best describes your business (Please choose the following from the descriptions below)

Resale
General Retail
Second Hand
Liquation
Tech Related
Appliance Store
Home Decor
Clothing

Please upload a picture of your store interior

Click or drag a file to this area to upload.

Please upload a picture of your store exterior

Click or drag a file to this area to upload.

Does your physical store have more than one location?

Yes
No

Where is your company headquarters?

Address Line 1

Address Line 2

City

State

Zip Code

How many stores do you have?

How many employees do you have? *

5 or less
6 - 25
26 - 50
51 - 100
100+

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