WHOLESALE PARTNERSHIP APPLICATION

Please complete this application as completely as possible.  We look forward to working with you!

Billing Address

Shipping Address

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Preferred method of contact *

Preferred Delivery Days

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TERMS: NET 14 DAYS. Thereafter customer expressly agrees to pay interest at the rate of 1.5% per month (18% annual percentage rate) finance charge on the unpaid balance together with all costs of collection including court costs and reasonable attorney’s fees.

The undersigned hereby swears and declares under penalty of perjury that the above information is true and correct and that purchaser is a solvent business that can and will pay its debts as they become due.