Wholesale Account Application -- Cariloha

Wholesale Account Application
Brand
Completed By*

First NameLast Name
Email of Submitter*
- Company Name*
- DBA Name (If Different)
- Parent Company Name (If subsidiary)
- Contact Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Phone Number*
- Email*
- Type of Business*
  
  CorporationLLCPartnershipProprietorship
- Resale Certificate Number
- Resale Certificate Expiration Date
- Upload Resale Certificate
  
  Browse Files
  
  Cancelof
- Are you a member of a buy group?*
  
  YesNo
- Buying Group Name:
- Buying Group Number:
- Do you have physical storefronts?*
  
  YesNo
- Billing Address Same As Primary?
  
  YesNo
- Billing Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- Phone Number
- Email
- Shipping Address Same As Billing?
  
  YesNo
- Shipping Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- Phone Number
- Email
- To whom will products be shipped?*
  
  BusinessEnd Customer (Drop Ship)Both
- Will your warehouse be receiving shipments from Cariloha?*
  
  YesNo
- Warehouse Delivery Days
  
  MondayTuesdayWednesdayThursdayFridaySaturdaySunday
- Warehouse Delivery Open
  
  :HourMinutesAM/PM Option
- Warehouse Delivery Close
  
  :HourMinutesAM/PM Option
- ** NOTE: If opening/closing hours vary from day to day, select the narrowest time window **
- Delivery Appointment Necessary
  
  YesNo
- This section will ask for your company's shipping compliance requirements. If you have any questions regarding this section, please reach out to compliance@pwcompanies.com before completing this section.
- Do you have shipping compliance requirements?*
  
  YesNo
- Do you have a routing guide?
  
  YesNo
- URL for Routing Guide
- Do you require EDI transmission?
  
  YesNo
- Do you require a specific EDI provider?
  
  YesNo
- Which EDI Provider?
- Will you be using your own shipping portal?
  
  YesNo
- Name of shipping portal
- Will Cariloha need login credentials to this platform?
  
  YesNo
- Do you have any special merchandise-ticketing requirements
  
  YesNo
- Please list all merchandise-ticketing requirements
- Do you have any inner or outer-carton labeling requirements?
  
  YesNo
- Please list all labelling requirements and whether they are inner, outer, or both
- Do you require a packing slip and/or invoice to be sent with an order?
  
  YesNo
- Are large shipments required to be palletized?
  
  YesNo
- For LTL shipments to your dock, do you require a truck with a lift gate?
  
  YesNo
- Will you be using your own billing account for shipping?
  
  YesNo
- Do you prefer local pickup? (For customers within 50 miles)
  
  YesNo
- Buyer
- Name
  
  First NameLast Name
- Email
- Phone Number
- Accounts Payable
- Name
  
  First NameLast Name
- Email
- Phone Number
- Shipping Notifications
- Name
  
  First NameLast Name
- Email
- Phone Number
- Notifications Via Email?
  
  YesNo
- Warehouse
- Name
  
  First NameLast Name
- Email
- Phone Number
- Notes/Additional Comments
- Terms and Conditions
- *
  
  I agree to the Terms and Conditions
- Quality Control Standards
- *
  
  I agree to the Quality Control Standards
- Brand Protection Packet
- *
  
  I agree to the Brand Protection Standards
- Signature*
- Should be Empty: