Information Request
Name of Business
*
Store Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sales Tax ID
*
Buyer Name
*
First Name
Last Name
Buyer E-mail
*
Buyer Phone Number
*
-
Area Code
Phone Number
Website
*
Instagram
Number of years in business?
What other lines are carried in your store:
What type of store are you?
Brick & Mortar
Online
What lines are you interested in purchasing:
Three Hearts
Baby Bar & Co
Maya & Ori
How you did you hear about us?
Do you shop at market and if so which market? Which Reps do you work with.
*
Will you need zipcode protection and if so from what stores are your largest concerns?
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