Wholesale Application Form for Bella Blu Design

Wholesale Application Form

Please complete the form to apply for wholesale partnership and include all required information.
Business Information
Business Name
Owner/Buyer Name

First NameLast Name
Title
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website
Instagram Handle
Facebook Page
TikTok Handle
Store Information
Type of Retail Business
Store Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Business Details
How long have you been in business?
Do you currently carry other brands?
Please list the other brands you carry
Do you have a valid resale certificate?
Upload Resale Certificate

Cancelof
A valid resale certificate is required to open a wholesale account.
Product Categories of Interest
Product Categories of Interest
Purchasing Information
Estimated Opening Order Amount
Desired Launch Date

MonthDayYear
Date
About Your Store
Tell us about your store and customer demographic
Why would Bella Blu Design be a good fit for your store?
Marketing & Events
Do you host in-store events?
Would you be interested in?
Wholesale Agreement
Agreement 1
Agreement 2
Agreement 3
Agreement 4
Agreement 5
Should be Empty:

Wholesale Application Form