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Wholesale application
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First Name
*
Last Name
*
Company Name
*
Resale Tax ID
*
Billing Address
*
Billing Address (line 2)
City
*
State
*
Zip Code/Postal Code
*
Shipping Address
*
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Same as billing
If different enter below
Shipping Address
Shipping Address(line2)
.City
.State
.Zip Code
Contact Phone
*
E-mail
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Fax
Website
How long has company been in business?
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1-2 yrs
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more than 5 yrs
What type of business?
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clothing retail store
general gift store
resort gift store
sporting goods store
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