Wholesale Application

First name

Last name

Phone

Company name

Company Address

Type of Business (Boutique Retail Store, Online Store, Pop-Up Shop, Department Store, Specialty Shop, Other)

Business Website and Social Media

Years in Business:

Number of Physical Locations

Average Monthly Apparel Budget ( $500–$2,000 / $2,000–$5,000 / $5,000–$10,000 / $10,000+)

Federal Employer Identification Number (EIN):

State Resale Certificate / Seller's Permit Number:

Resale Certificate State Issued:

Business Entity Type (Sole Proprietorship, LLC, S-Corp, C-Corp, Partnership, Non-Profit, Other)

Upload Resale Certificate or Business License:

Signature "I certify that all information provided is accurate and complete. I understand that submitting false information may result in the denial or cancellation of my wholesale account."

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