#GETFLOATY Wholesale Application

Wholesale Application
Buyer Name

First NameLast Name
Business Name
Website
Example: https://www.getfloaty.com/
Social Media Links
Business E-mail
Phone Number

Country CodeArea CodePhone Number
Corporate Structure

Other
Years in Business
Business Registration Type?
Select "other" if type not listed
If "other" is selected above. What is your business registration type?
Leave blank if "other" is not selected as business registration type
Business Registration Number
Sellers Permit Number
Where will the products be resold?
Number of Stores
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name

First NameLast Name
Position/Title
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: