MiQ Interest Form
Please fill out all required fields. Once submitted, we will get back to you as soon as we can.
Name *
Business Name *
Email *
Phone *
Business Address *
Business Website
Instagram
Twitter
Facebook
Other Social Media
What is your one-sentence description of your brand / business? *
How would you describe your business in thirty words or less? *
How is your brand special / different? *
How did you start your business and how did you get to where you are now? *
Tell us more about your product (s). What do you make / sell? *
Please upload photos of your product. You may upload up to 10, but at least 1. *
Required
Tell us about your retail and wholesale pricing for each of the items that you are proposing to sell with us. *
Are your products manufactured or made in New York State? *
In what zip code are your products made? *
Do you need to collect sales tax? *
Do you embrace local suppliers? How, or to what extent, are your products made locally? Can you tell us a personal experience or share more details? *
Do you sell your items anywhere else? If so, please list. *
Is online sales a key component of your revenue? *
Why do you want to be part of the MiQ brand? *
Please share a photo of yourself or the team. *
Required
How much notice will you need to participate in an MiQ event or retail opportunity? *
Anything else you would like us to know?
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