Wholesale Application
Thank you for your interest in carrying Glampano , TC Mens Care, Accessories & Joseph and Nico Suits in your store! Please fill out the application below & submit. We will get back to you as soon as possible
Name of Business
*
Legal Name
DBA or AKA
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a Residential Address?
*
Yes
No
Phone Number
*
Business License Number
*
E-mail
*
example@example.com
Primary Contact
*
First Name
Last Name
What Type of Business are you?
Retail Store
Niche Market
Other (please specify in Notes)
How did you hear about us?
*
Please Select
Sales Representative reached out
Promotional Mail out
A Customer requested your products
Internet
Facebook
Instagram
Other (Please specify...)
Notes / Anything else we should know about your business?
Submit
Should be Empty: