Wholesale Account Onboarding

Wholesale Account Onboarding

Please provide your business details to set up your wholesale account.
Company Name*
Sales Representative/ Sign Up*

The RichmondsPatti's PlaceWebsite Signup - New store needing a sales rep.
Business Type*
Company Website *
Tax/VAT ID*
Upload Resale Certificates

Please upload your resale certificates in PDF or image format.
Cancelof
Business Email Address*
example@example.com
Business Phone Number*
Please enter a valid phone number.
Business Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is your delivery/shipping address different from your business address?*

YesNo
Delivery/Shipping Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Contact Name*

First NameLast Name
Primary Contact Position/Title*
Preferred Method of Communication*

EmailPhoneOther
Signature
Should be Empty: