Wholesale Form Cool Patch Pants, Crazy Patchwork Skirts & Dresses, Fun Stuf for Kids & Adults

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To request Wholesale Pricing Approval, please complete the form below.
*Bold fields are required* In order to reach the "Wholesale pricing" page, please complete the following information, and then you must go to the "Sign Up" page (there is a link below this form) and request a password in addition to completing this form. Your information will be reviewed, and you will receive a password via email shortly after both these forms ("Wholesale Request" and "Sign Up") are completed and submitted. Thank you!

*Your Name*
Business Name & Address, City, State, Zip, and Phone Number
Why are you requesting Wholesale Pricing (please include why you believe you should be approved for Wholesale Pricing~be creative!)?
*Anticipated Monthly Orders $*	(you might need to use your "Anticipated Annual Orders" divided by 12 to arrive at this amount)
*Is your store Online or "Brick & Mortar"?*	If your store is Online, you may be required to agree to a "minimum sale price" in order to be approved for wholesale purchases.
*Email*

Click Here to go to the "Sign Up" page.
The "Sign Up" page will open in a separate browser window for your convenience. Thank you!