Wholesaler Registration

FIRST NAME

LAST NAME

EMAIL

PHONE

WEBSITE (Please provide us your Company Website URL/Address. If you don't have a website yet please provide your Facebook Page, Instagram Page, Etsy, Amazon or Ebay to avoid delays! Website examples www.newicm.com, https://www.facebook.com/lauradaresleepwear, https://www.instagram.com/lauradaresleepwear, https://twitter.com/lauradaresleepwear

COMPANY NAME

TAX ID Please upload a scanned business TAX ID or you can take a quick photo of it with your phone and upload it here. (Accepted File Types - jpg, jpeg, png, gif, pdf. Max File Size is 9MB)

COMPANY ADDRESS

CITY

SATE

ZIP CODE

Please allow 3-5 business days for your Wholesale account to be approved. Thank you!