Wholesale Inquiry/Account Setup Form

New Wholesale Inquiry Form

Thank you for your interest in our products!
Contact Name *

First Name Last Name
Company Name *
Billing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Shipping Address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Business Type *

Online Store Brick and Mortar Store Both Brick and Mortar and Online
Are you a Crafters Home Member?

Yes No
Crafters Home Member Number:
Website (if applicable)
Business/Sellers License Number:
Attach Business License:
Tax ID Number:
Brief Description of your business:
How did you hear about us?
Would you like to be notified when new products are available?

Yes No
Enter the message as it's shown *
Should be Empty:

New Wholesale Inquiry Form