Wholesale Account Setup (Prospect)

Wholesale Account Setup
Important: You will need to send proof of a resale tax certificate/license** in order to establish an account and start shopping. Please submit a copy, scan, or photograph via email: * Tax Form is not applicable to AK, DE, MT, NH, OR, PR, VI and International

CANADA: info@danicaimports.com USA: info@nowdesigns.net
ACCOUNT SETUP INFORMATION
First Name * *
Last Name * *
Job Title *
Email * *
Phone Number * *
Fax Number
Pending Order PO Number
Account Number
Company Name * *
Federal Tax ID (Business Number) * *
Store Type * *
Choose what best describes your business
Business Type * *
Other Business Type *
Do you have an online store? *
Website
Years in Business * *
Number of Physical Stores * *
How did you hear about us? * *
Please specify * *
Trade Publication
Please specify * *
Gift Show
Other Trade Publication *
Facebook
Instagram
BUYER CONTACT INFORMATION
Buyer Contact

Same as Account Setup Contact
Buyer: First Name * *
Buyer: Last Name * *
Buyer: Job Title
Buyer: Email * *
Buyer: Phone Number * *
Buyer: Fax Number
ACCOUNTS PAYABLE CONTACT INFORMATION
Accounts Payable Contact

Same as Account Setup Contact Same as Buyer
AP: First Name * *
AP: Last Name * *
AP: Job Title
AP: Email * *
AP: Phone Number * *
AP: Fax Number
OWNER CONTACT INFORMATION
Owner Contact

Same as Account Setup Contact Same as Buyer Same as Accounts Payable
Owner: First Name * *
Owner: Last Name * *
Owner: Job Title
Owner: Email * *
Owner: Phone Number * *
Owner: Fax Number
BILLING INFORMATION
Contact for Invoices/Statements
First Name * *
Last Name * *
Job Title
Email * *
BILLING ADDRESS
Address Type * *
Company Name * *
Country * *
Unit Number
Street Address * *
Postal / ZIP Code * *
City * *
Province * *
State * *
SHIPPING INFORMATION
Contact for Ship Notifications
First Name * *
Last Name * *
Job Title
Email * *
SHIPPING ADDRESS
Same as Billing Address
Address Type *
Company Name * *
Country * *
Unit Number
Street Address * *
Postal / ZIP Code * *
City * *
Province * *
State * *
CATALOG
Do you want a physical catalog mailed to you? *

Yes No
Who should get the catalog? *
First Name * *
Last Name * *
Job Title *
Email * *
To what address? *
Add additional address
OTHER ADDRESS
Address Type *
Company Name *
Country * *
Unit Number
Street Address * *
Postal / ZIP Code * *
City * *
State * *
Province * *
ADDITIONAL ADDRESS
Address Type *
Company Name *
Country * *
Unit Number
Street Address * *
Postal / ZIP Code * *
City * *
Province * *
State * *
What products are you interested in?
Should be Empty:

Wholesale Account Setup

ACCOUNT SETUP INFORMATION

BUYER CONTACT INFORMATION

ACCOUNTS PAYABLE CONTACT INFORMATION

OWNER CONTACT INFORMATION

BILLING INFORMATION

BILLING ADDRESS

SHIPPING INFORMATION

SHIPPING ADDRESS

CATALOG

OTHER ADDRESS

ADDITIONAL ADDRESS