Wholesale Application

* denotes required field

First Name *

Last Name *

Title

Store Name *

Federal Tax ID # *

Resale Tax ID # *

All new U.S. accounts must have a federal tax ID and Resale tax ID to open a new account.
If you do not have one of the above, type N/A and explain why in the section below:

Email *

Website URL *

Phone *

Fax

Street Address *

City *

State *

Zip *

Type of Retailer *

Specialty *

Price Range of Merchandise *

Describe your store location * Clientele *

Size (sq ft.) *

Is your store currently open? Yes No

If yes, how many years established? *

How many (brick & mortar) store locations do you have? *

Name 3 brands you plan to carry *

How did you hear about us? *

Comments or Questions

* I agree that Noodle & Boo products may not be sold on the internet.

* Retailers may not offer Noodle & Boo products on any other third party websites, including bidding or auction style sites, regardless of whether a bid pricing formula or fixed pricing formula is used.