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Wholesale Registration Form

Thank you so much for your interest in Printed Cotton Co. Please complete the form below for access to our wholesale requirements and pricing. Once we receive your submitted information, we will review your application and respond promptly. Once we have fully reviewed your information, we will email you your wholesaler login and password information to the address that you provide on this form. We look forward to doing business with you!

-Must have a brick and mortar store front. We are not accepting online-only applications at this time.
-Opening orders must currently reach $250. All orders after the first order must reach minimum of $150

Wholesale Application

First Name:
Last Name:
Phone Number:
Email Address:
Store Name:
Store Address:
Years in Business:
Federal Tax EIN:
Resale Tax ID number:
Website Address:

List products sold in your store:

List some brands carried in your store:

Please enter the following code into the box provided (no spaces, lower case):