Wholesale Account Request Form
Email address *
First Name *
Your answer
Last Name *
Your answer
Business Name *
Your answer
Seller's Permit Number (U.S. shops)
Your answer
VAT Number (International shops)
Your answer
Phone Number *
Your answer
Website
(or social media link if you do not have a website)
Your answer
Business Address *
(store location required)
Your answer
Business Mailing Address
(if different from above)
Your answer
Type of Business *
(if different from above)
Describe your retail business *
Your answer
How many years have you been in business? *
Your answer
How did you hear about us?
Your answer
Which products are you interested in selling?
Your answer
Please list three vendors that you purchase from *
Your answer
Comments
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Cavallini Papers & Co., Inc..