New Vendor Application

1
Name of Business Owner* This field is required.
First Name
Last Name
2
Business Name* This field is required.
3
Contact Number* This field is required.
4
E-mail* This field is required.Please provide the email address that will be used for all future correspondence with Blank Slate.
example@example.com
5
Business website* This field is required.We would love to review your current product offerings. If you are super new to the game and you're still working on your website, no worries. Please enter "www.na.com". (But please be sure to provide pictures of your products.)
6
Business Instagram Handle* This field is required.If you do not have a business Instagram account, please put N/A in the response section OR if you use your personal Instagram account, please share that handle. .
7
Business Facebook* This field is required.If you do not have a business page on Facebook, please put N/A in the response section or if you use your personal Facebook account to grow your business, please share that name..
8
Please tell us about your business and the products that you would like for us to consider for your brand's placement in the store.* This field is required.Please note: In an attempt to ensure that the shop is not over saturated in certain products all products that you list may not be approved for store placement.
9
How would you best describe the ownership of your business? Are you a minority owned business (at least 51% woman, racial or ethnic minority)? If yes, please explain. * This field is required.
10
At this time, we currently have three ways to work with brands: Which partnership are you interested in?* This field is required.Please select all that apply.
In Store Brand Partner
Pop Up Shop Vendor
Subscription Box Brand
11
Please upload a high-quality image of your logo and product photos if you do not have an active website.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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12
My Products
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Blank Slate Vendor Application Fee
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Total cost
Debit or Credit Card
First Name
Last Name
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