Business Name
Doing Business As (DBA), if applicable
Business Website/URL
Social Media Handle (e.g., Instagram/TikTok)
Business Type
Brick & Mortar Boutique
E-commerce Only
Interior Designer/Trade Professional
Subscription Box/Curation Service
Corporate Gifting
Other:
Primary Contact Name
First Name
Last Name
Position/Job Title
Email Address
Phone Number
Storefront/Shipping Address
Street Address
Street Address Line 2
City/Suburb
State/Province/Region
Postal/Zip Code
Country
Billing Address (if different)
Street Address
Street Address Line 2
City/Suburb
State/Province/Region
Postal/Zip Code
Country
Tax ID/EIN Number
Resale Certificate Number
Upload a copy of your valid Resale Certificate
How did you hear about us?
Which of our products are you most interested in?
Estimated Opening Order Volume
$500.00 – $1,000.00
$1,000.00 – $5,000.00
$5,000.00 - $10,000.00
Other:
Estimated Order Frequency
Monthly
Quarterly
Seasonal
Describe your store's aesthetic and target customer
List 3 other brands you currently carry
I understand that items purchased at wholesale are for resale only and cannot be sold on third-party marketplaces (Amazon, eBay, Etsy) without express written consent.
I agree to the brand’s Minimum Advertised Price (MAP) policy.
Form Template Insights
Important Note:
This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes.
AI-Generated Content: This template and its accompanying guidance are AI-generated to provide a practical starting point for your form-building needs. Please review and customise the content to ensure it is accurate, appropriate and suitable for your intended use.
This guide is provided for general informational and planning purposes only. It does not constitute professional, legal, financial, medical, employment, privacy, regulatory, or advice of any other kind, nor does it certify that this template is suitable or compliant for any particular jurisdiction or purpose.
Laws, regulations, industry practices and business requirements vary. You are responsible for reviewing and customising the template to suit your intended use and obtaining advice from appropriately qualified professionals where necessary.
Please delete this section before publishing your form. See our Terms of Service for further information.
The first section is designed to prove the applicant is a legitimate entity rather than a retail customer looking for a discount.
Knowing where a potential partner is located and who else they sell helps you manage your "brand footprint."
These fields help your production team forecast demand.
Mandatory Questions Recommendation
Important Note:
This section explains why certain fields in this form are marked as required and provides general guidance on how these requirements may support the collection of complete, accurate and relevant information.
Required fields and information-collection obligations may vary depending on your industry, jurisdiction, business operations and intended use of the form. A field marked as required in this template does not necessarily mean that collecting the information is legally mandatory.
Please review each required field to determine whether it is necessary, appropriate and lawful for your particular purpose. Consider applicable privacy, data protection, consent and industry-specific requirements, and consult an appropriately qualified legal, privacy or compliance professional where necessary.
Please delete this section before publishing your form. See our Terms of Service for further information.
Here are the essential questions that should be marked as required and the operational reasons behind them.