Wholesale Application
Thank you for your interest in carrying Rebellious Pins in your store! Please fill out the application below & submit. We will contact you within 2 business days. Feel free to reach out at heyfam@rebelliouspins.com.
Name of Business
*
Legal Name
DBA or AKA
Resellers Permit or Resale Certificate Number
Also known as Sales Tax Certificate, Sales & Use Permit, etc.
Please upload your resale certificate / sellers permit, or proof of registration.
Browse Files
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If you are not a registered business, you are not eligible for wholesale pricing.
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Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a Residential Address?
Yes
No
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Website
*
Primary Contact
*
First Name
Last Name
What Type of Business are you?
Retail Store
Online / eCommerce
Registered Non-Profit
Other (please specify in Notes)
How did you hear about us?
*
Please Select
A Customer requested your products
Internet
Facebook
Instagram
Other (Please specify...)
Notes / Anything else we should know about your business?
Submit
Should be Empty: