Wholesale Application
Thank You for your interest in carrying our product line. If you have any questions regarding our ordering process and sales terms please
click here
.
Items in
BOLD
are required. If you do not complete the form your application will not be accepted.
Contact Name:
Company Name
Email Address:
Phone:
Address:
City:
State:
Zip:
Federal Tax ID:
State Resale #
ASI #
We use consumer reports and credit history to qualify you for credit terms.
Do we have your permission to review these records?
Yes
No
Projected Annual Jean Sales:
Type of Business:
Briefly describe your business operations and how you plan to
sell our jeans. If you have a website
please provide your web address.
