APPLICATION FOR WHOLESALE ACCOUNT
Thank you for your interest in working with Susie Q's Brand. Simply complete the form below and someone will contact you to continue setting up your wholesale account.

Please note that we do not allow our wholesale partners to sell our products online. You must have a physical storefront for all distribution.
Business Name *
Your answer
Type of Establishment *
Website *
Your answer
Type of Business Entity *
Year Business Established *
Your answer
Resale Number
Your answer
Street Address (billing) *
Your answer
City (billing) *
Your answer
Zip Code (billing) *
Your answer
Store phone number for customers *
Your answer
Shipping address different from billing? *
Preferred Billing *
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