subject_line
Name of person filling out this form
*
E-mail address for the person filling out this form
*
GENERAL PRODUCT DETAILS
Size of Business
*
Cottage Industry
Small 1-20
Medium 21-100
Large 101-400
Enterprise 400+
Business Name
*
Product Name
Alternate Name
Product ID
SKU or registered ISBN, UPC
Product summary.
*
Single or Multiple Variation(s)?
Choose all that apply.
*
Single
Sizes
Color
Shapes
Height Specific
Length Specific
Width Specific
Kit(s)
Age Specific
Seasonal Specific
Bulk Discount
Discount Rate
Regional Specific
No
Is this item a part of another product?
*
OEM
Part
Kit(s)
Set
Accessory
Module
Yes
No
Other
Best selling products / Summary. Wholesale vs retail values.
ADDITIONAL INFORMATION
Website URL
*
Facebook URL
Other URL
Address 1:
*
Address 2:
Address 3:
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip:
Primary Phone Number
*
Emergency Phone Number
*
Secondary Phone Number
BUSINESS CONTACTS
Point of Contact
*
🛈
1st
2nd
Managerial
Sales
Marketing
Operations
Scheduling
Title / Role
*
First Name
*
Last Name
*
Phone:
*
email
*
PRIMARY FULFILLMENT CONTACT
Title / Role
First Name
Last Name
Phone:
email
Best time to contact
Drop Shipping
*
Yes
No
Maybe
Minimum Order
*
Order Due Date
Turn-Around time
Shipping Costs
Outline order fulfillment process and costs for shipping and handling
0/255 characters
What is your return policy for wholesalers?
0/255 characters
Are you able to co-brand items if requested?
0/255 characters
Do you offer customers any customizations? If so, please provide details.
0/255 characters
BILLING CONTACT
Billing Contact
Title / Role
*
First Name
*
Last Name
*
Phone:
*
email
*
Please outline payment options.
0/255 characters
Please outline policies.
0/255 characters
How would the product manufacturer or distributer prefer to be paid?
*
Credit Card
Check
Direct Desposit
When are payments due?
Prepay
Upon delivery
15 days
30 days
45 days
60 days
Quarterly
Yearly
PRODUCT IMAGERY / MEDIA KIT
Product Inventory Spreadsheet.
🛈
Please use this Spreadsheet format.
Google Spreadsheet
(420 only)
BULK PRODUCT INVENTORY
Product Inventory Spreadsheet.
🛈
Please use this Spreadsheet format.
Google Spreadsheet
(420 only)
WHOLESALE PRICE LIST
Wholesale Cost Spreadsheet.
🛈
Please use this Wholesale format.
Google Spreadsheet
(420 only)
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