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Wholesale

Please complete the following information to be processed for a ws/retailer account. When you are finished, just hit the "Send email" button at the bottom of the form to send us your info!

Note: Fields denoted with an asterisk (*) are required.

Thank you for your interest in Tot Dots™.

Wholesale Application

Store Name *
 
Resale # *
 
Contact Name *

First

Last
 
Title
 
Email *
 
Web Site
Please provide your URL if you will be selling Tot Dots items through an online store.
Phone *

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Fax

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Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 

Credit References

Please provide at least one credit reference below. If you cannot, please provide a short explanation below.
Company
 
Contact Name

First

Last
 
Email
 
Phone

###
-
###
-
####
 
Fax

###
-
###
-
####
 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 

Credit Reference #2

 
Company
 
Contact Name

First

Last
 
Email
 
Phone

###
-
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-
####
 
Fax

###
-
###
-
####
 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 

Credit Reference #3

 
Company
 
Contact Name

First

Last
 
Email
 
Phone

###
-
###
-
####
 
Fax

###
-
###
-
####
 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 
Message
 
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