WHOLESALE APPLICATION

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[av_contact email=” title=’Please Complete This Form:’ button=’SUBMIT FOR APPROVAL’ on_send=” sent=’Your message has been sent! We will contact you regarding your application shortly.’ link=’manually,http://’ subject=’NEW WHOLESALE FORM APPLICATION – ranchosemental.caligraphixs.com’ autorespond=” captcha=’active’ hide_labels=’aviaTBhide_labels’ form_align=” color=” custom_class=” admin_preview_bg=”]
[av_contact_field label=’Business Name:’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Store Name:’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Store Website Address:’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Owner / Buyer Name:’ type=’text’ options=” check=’is_empty’ width=’element_third’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Owner / Buyer Email Address:’ type=’text’ options=” check=’is_email’ width=’element_third’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Owner / Buyer Phone:’ type=’text’ options=” check=’is_phone’ width=’element_third’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Retail Store Street Address:’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
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[av_contact_field label=’Zip Code:’ type=’text’ options=” check=’is_empty’ width=’element_half’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Country:’ type=’text’ options=” check=’is_empty’ width=’element_half’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Sales Tax ID #:’ type=’text’ options=” check=’is_empty’ width=’element_half’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Brick and Mortar Store?’ type=’select’ options=’YES, NO’ check=’is_empty’ width=’element_half’ multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’If no, please describe how you sell products:’ type=’textarea’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Please list FIVE brands you currently carry:’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field]
[av_contact_field label=’Additional information / notes:’ type=’textarea’ options=” check=” width=” multi_select=” av_contact_preselect=”][/av_contact_field]
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Have Questions?

Contact Us:

Rancho Semental
10665 Harry Hines Blvd.
Dallas, TX 75220

ranchosemental.caligraphixs.com
214-350-3003

Store Hours:

Mon-Fri: 10:00a-8:00p
Sat: 10:00a-8:00p
Sun: 10:00a-8:00p
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