WHOLESALE APPLICATION

WHOLESALE APPLICATION

GENERAL INFORMATION
BUSINESS NAME
PRIMARY CONTACT NAME

First NameLast Name
CONTACT EMAIL
Phone Number
BUSINESS ADDRESS:
Attn: Name
Shipping Address: Street Address Unit/Suite City Province/State Postal/Zip Country
ORGANIZATION TYPE
COMPANY WEBSITE
if applicable
OWNER/ PRINCIPAL OFFICER(S)

PERFORMANCE
PRIMARY TYPE OF BUSINESS
# OF YEARS IN BUSINESS
PRODUCT MIX
NUMBER OF EMPLOYEES
NUMBER OF EMPLOYEES IN SALES
DO YOU HAVE A GRAPHICS DEPARTMENT

YESNO
ARE YOU CURRENTLY USING A CRM SOFTWARE? IF YES, PLEASE LIST
NUMBER OF STORE LOCATIONS
SHOWROOM?

YESNO
PRIMARY MEANS OF SELLING
SECONDARY MEANS OF SELLING
MONTHLY BOOK SALES

TRADE REFERENCES (3 ARE REQUIRED)
REFERENCE #1
NAME

First NameLast Name
TYPE OF BUSINESS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE #
Please enter a valid phone number.
WEBSITE
REFERENCE #2
NAME

First NameLast Name
TYPE OF BUSINESS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE #
Please enter a valid phone number.
WEBSITE
REFERENCE #3
NAME

First NameLast Name
TYPE OF BUSINESS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE #
WEBSITE

SUBMISSION
DATE SUBMITTED

MonthDayYear
Signature

Clear
Should be Empty:

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