Miniware Wholesale Application Form

New Wholesale Account Application - Free Sample Request
Business Name*
DBA*
Intent*

eCommerceBrick & Mortar LocationBoth
Your Name*

First NameLast Name
Position*
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Primary Contact for Orders*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Website URL*
Store Address*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Shipping Address*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Store Location, if any

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Special Delivery Instructions, if any (or type NONE)*
Do you sell on any 3rd party marketplaces?*

YesNo
If yes, please list the URL here:
Reseller Permit Copy

Upload a File
Upload a copy now, or email it to us prior to your first order. Cancelof
Federal Tax ID*
Select Your Free Sample Item(s)*

Catch & Cover Bib/ApronSilifoldRoll & Lock Silicone BibPre2Pro Multi-tip SpoonTraining Spoon SetSensory Bowl
Should be Empty:

New Wholesale Account Application - Free Sample Request