Wholesale Account Form for Quilt Patterns and Notions

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* 1. Shop Owner's Full Name

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* 2. Shop Owner's Email Address

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* 3. Shop Owner's Telephone Number

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* 4. Shop Shipping Address

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* 5. Name of Quilt Shop

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* 6. Quilt Shop Website

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* 7. Quilt Shop Facebook and/or Instagram Handles

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* 8. Quilt Shop Tax ID Number

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* 9. Preferred method of payment.

Check

PayPal

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* 10. Names of Quilt Patterns to Order and Quantities. (Please list all).

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* 11. Names of Jumbo Clips to Order. Please specify ALPHABET or NUMBER or both and quantities.

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* 12. Does your shop carry my fabric collections? This helps me to direct consumers in your area to your shop.

Yes

I plan to order it

No

I carry only these collections:

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* 13. Would you like to be added to my general newsletter email list?

Yes

No

Only if specifically for shop owners

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* 14. Any other comments you would like to share?