Wholesale Application
Email address *
Store Name *
Store website *
Store Type *
Required
Address Line One *
Address Line Two
City *
State *
Zipcode *
Country
Phone Number *
Purchasing Contact Name *
Purchasing Contact Email *
Please tell us about your store (years in business, brands you carry, etc) *
Resale Tax Permit # or Vendor's License #
Instagram *
Facebook *
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This form was created inside of Baby Jives Co.