Custom Product Inquiry Form
Company Name:
*
Point of Contact Name (Your Name)
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Website:
Which products are you interested in?
*
Engraved Map Wall Art
Printed Maps Wall Art
Ornaments
Candles with Custom Magnetic Lids
Coasters
Glass Bowls
Bamboo Cutting Boards
Slate Charcuterie Boards
Coordinate Sticks
Coordinate Twigs
Micros (Desk Art)
What type of art are you interested in?
*
How would you prefer for us to contact you?
Email
Phone call
Text message
Zoom/FaceTime
Where did you first learn of Fire & Pine?:
I consent to receive text messages about wholesale partnerships from Fire & Pine at the phone number I provided. I acknowledge that my consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. You may review our Privacy Policy (https://www.fireandpine.com/pages/privacy-policy) to learn how your data is used.
I understand
*
I understand I am applying for a wholesale account with Fire & Pine and approval is based on review of my account.
Submit
Should be Empty: