Pink Panache Wholesale Application

{ binding displayValue, mode=oneTime }

Ordered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Notes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Applicant Information

Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

What best describes your business? CHOOSE ONLY ONE.. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{{ ['Brick and Mortar Store Front','Online Only / No Storefront (provide website below)','Trade Shows/ Mobile Boutique'][$index] }}

VALID WEBPAGE MUST BE PROVIDED {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Retail shows you will be participating in? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State in which business is registered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State Tax or Reseller Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Signature below indicates a legally registered business. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Business Information

Business Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone number where you would like to be contacted. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Upload your State Sales Tax Certificate here. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

APPLICATIONS WITHOUT A VALID SALES TAX or RESELLER CERTIFICATE WILL NOT BE CONSIDERED.

******PLEASE ALLOW ADDITIONAL TIME FOR APPLICATION REVIEWS DURING MARKET DATES, IF YOUR REQUEST IS URGENT, PLEASE CONTACT OUR OFFICE**********

Address Info

Shipping

Shipping Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Billing

Billingg Address if Different than Shipping {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Pink Panache Wholesale Application

Ordered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Notes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Applicant Information

Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What best describes your business? CHOOSE ONLY ONE.. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

VALID WEBPAGE MUST BE PROVIDED {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Retail shows you will be participating in? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State in which business is registered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State Tax or Reseller Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Signature below indicates a legally registered business. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Business Information

Business Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone number where you would like to be contacted. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Upload your State Sales Tax Certificate here. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

APPLICATIONS WITHOUT A VALID SALES TAX or RESELLER CERTIFICATE WILL NOT BE CONSIDERED.

******PLEASE ALLOW ADDITIONAL TIME FOR APPLICATION REVIEWS DURING MARKET DATES, IF YOUR REQUEST IS URGENT, PLEASE CONTACT OUR OFFICE**********

Address Info

Shipping

Shipping Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Billing

Billingg Address if Different than Shipping {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Wholesaler Agreement

PINK PANACHE POLICIES

$500 minimum opening order, $200 minimum on re-orders.
50% deposit due when order is placed, balance due at shipping
A valid Tax ID number for the state where you do business
Completed resale form returned to Pink Panache
Retail price must be at least double the wholesale price for a minimum of 60 days before any discount is given

50% of the total will be paid immediately and the remaining 50% will be due prior to shipment of the product. The 50% deposit is non- refundable; however, you may contact us to revise your order. Credit Cards which fail to go through may be considered as cancellation and will not be pursued. Your signature also indicates you agree with the wholesale policies:

I have read the terms of service agreement and policy information {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

By signing below and clicking Submit, I agree to the service agreement and privacy policy. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}