Wholesale Application Form

WHOLESALE APPLICATION FORM

Primary Contact (required)

First Name

Last Name

Business Name (required)

Phone Number

Email (required)

Would you like me to add you to the Boomerang Stitches wholesale newsletter?

I would love to be added to the list!

Not at this time.

Business Type (required)

Brick & Mortar

Online Shop

Brick & Mortar with an Online Shop

Tax ID (required)

Resale Number or Tax ID

Website

Shipping Address (required)

Street Address

Street Address Line 2

City

State / Providence

Postal / Zip Code

Message