Luxe B Pampas Grass Wholesale Account Application
Thank you for your interest in selling Luxe B Pampas Grass
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Email *
Store Name *
Tax ID Number *
Is your store in the U.S. or Canada? *
Is your store online-only? NOTE: We cannot accept orders from those who sell on third party websites-including but not exclusive to Amazon, eBay, ect. *
If you have an online storefront, please provide your web address. *
Full Name *
Company Name *
How many years in business *
How many employses at your company *
Billing Street Address
Billing City
Billing State/Province/Region
Billing Zip/Postal Code
Billing Country
Is your store's location different than your billing address
If YES, please provide your store's address
Additional Store Locations
How would you categorize your store?
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Store Contact Name
We have opening minimum of $500 on your first ,please acknowledge *
Email Address
Phone Number
How did you hear about us?
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