Application Form

Business Structure

Sole Preprietorship

Partnership

Corporation

Other

Owner 1

Title

First Name

Last Name

Owner 2

Title

First Name

Last Name

Owner 3

Title

First Name

Last Name

Contacts

Payables

Buyers

Send Invoice

Mail

Website

Social Media Account

Referral

How long have you been in business?

Gross monthly rent?

Gross monthly sales?

Name some of the brands/lines you carry

Number of years owner has been in this line of business

Square footage of facility?

Attach pictures of your main location [1-3]

Add files...

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Attach additional documents such as permits or certificates [tax permit, resale certificate, city permit,...etc]

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Give us the background on how your company was formed and what is your specialty?

Optional Business Information (Enter Additional information below to expedite your approval process.)