Wholesale Info

Retailers interested in selling our products, please complete the application below. We will get back to you as soon as we review your application.

Wholesale Account Application

Fields with an (*) are required


Company Information

* Company name:
Address:*
Address:
City:*
State:*
Zip:*
Phone (toll-free for listing on website):*
Fax:

Web site:*

Company is: *
Sole Proprietor / DBA
Partnership
Corporation
Non-profit group or organization
Other:
Main sources of business include:*
Brick and mortar store
Catalog sales
Internet sales
Other:

Year established:*

FORMS NEEDED:

You must fax, email, or snail mail a copy of the State Resale Certificate.
fax: 877-716-3988

1) State Resale Certificate


(Certificate #)
 
(State)
2) Federal Tax ID


Key Contacts & Billing Information
Name:
Email address:
Phone number(s):
Billing Address:
City:
State:
Zip:


Sales Information
Gross Sales Last Year:
Percent of Sales that are diaper products:
How many lines of diapers do you carry?
List other brands here:
How do you advertise?
How often do you update your website?


Shipping Information

* Company name:
* Address:
Address:
* City:
* State:
* Zip:
* Residential address?
Special instructions:
   
We will contact you once we review your application.