Wholesale Application Form

Wholesale Application

Thank you for your interest in carrying Cordée Cases in your store! Please fill out the application below & submit. We will contact you within 48 hours via the contact information provided.
Name of Business*

Legal NameDBA or AKA
Website
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this a Residential Address?*

YesNo
Primary Contact*

First NameLast Name
E-mail*
example@example.com
Phone Number
What Type of Business are you?*

E-commerceBrick and MortarOther (please specify in Notes)
What quantities are you interested in?*
Please upload your Resale Certificate*

Cancelof
How did you hear about us?*
Notes / Anything else we should know about your business?
Signature*

Clear
Date

MonthDayYear
Date
Terms & Conditions: All information collected is confidential. No payment information is kept on file, all invoices are able to be paid online through a secure site (if paying by cheque, please let us know).

First order is payable immediately, all orders after are on 30 days terms from receipt of product.
Should be Empty: