Legal 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
Please remove this form template insights section before publishing.
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
Please remove this mandatory questions recommendation before publishing.
Here are the essential questions that should be marked as required and the operational reasons behind them.