Wholesale Account Form for Quilt Patterns and Notions

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1. Shop Owner's Full Name (Required.)

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2. Shop Owner's Email Address (Required.)

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3. Shop Owner's Telephone Number (Required.)

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4. Shop Shipping Address (Required.)

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5. Name of Quilt Shop (Required.)

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6. Quilt Shop Website (Required.)

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7. Quilt Shop Facebook and/or Instagram Handles (Required.)

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8. Quilt Shop Tax ID Number (Required.)

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9. Preferred method of payment. (Required.)

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. (Required.)

Yes

I plan to order it

I carry only these collections:

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13. Would you like to be added to my general newsletter email list? (Required.)

Yes

Only if specifically for shop owners

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14. Any other comments you would like to share?

Wholesale Account Form for Quilt Patterns and Notions

Question Title

* 1. Shop Owner's Full Name (Required.)

Question Title

* 2. Shop Owner's Email Address (Required.)

Question Title

* 3. Shop Owner's Telephone Number (Required.)

Question Title

* 4. Shop Shipping Address (Required.)

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* 5. Name of Quilt Shop (Required.)

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* 6. Quilt Shop Website (Required.)

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* 7. Quilt Shop Facebook and/or Instagram Handles (Required.)

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* 8. Quilt Shop Tax ID Number (Required.)

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* 9. Preferred method of payment. (Required.)

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

1. Shop Owner's Full Name (Required.)

2. Shop Owner's Email Address (Required.)

3. Shop Owner's Telephone Number (Required.)

4. Shop Shipping Address (Required.)

5. Name of Quilt Shop (Required.)

6. Quilt Shop Website (Required.)

7. Quilt Shop Facebook and/or Instagram Handles (Required.)

8. Quilt Shop Tax ID Number (Required.)

9. Preferred method of payment. (Required.)

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

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

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

13. Would you like to be added to my general newsletter email list? (Required.)

14. Any other comments you would like to share?