Souldier - Handmade Straps - Customer Registration

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The application process is simple. Please take the time to give us your information and we will issue you a username and password if your application is approved.

Wholesale Request Application:

BUSINESS & CONTACT INFORMATION


Legal Business Name:	Legal Business Name is required.
DBA/Business Name:	DBA/Business Name is required.
State Tax Number:
FEIN Number:
First Name:	First Name is required.
Last Name:	Last Name is required.
Position:	Position is required.
Email:	Email is required. Email and Verify Email must be same. Invalid E-Mail Address.	(please verify)	Verify Email is required.
Business Website:	e.g:- http://example.com Business Website is required. Invalid Business Website.

BILLING INFORMATION

Address Line 1:

Address Line 2:

City:

State/Province:	State/Province is required.
Postal Code:	Postal Code is required.
Country:	Country is required.

Phone:

SHIPPING INFORMATION

Address Line 1:

Address Line 2:

City:

State/Province:	State/Province is required.
Postal Code:	Postal Code is required.
Country:	Country is required.

Phone:

INFORMATION TO DISPLAY ON WEBSITE

Same as Billing Information Shipping Information

Business Name:

Address Line 1:

Address Line 2:

City:

State/Province:	State/Province is required.
Postal Code:	Postal Code is required.
Country:	Country is required.

Phone:

Enter Code:
(Case Sensitive)

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