Wholesale Application

Company Name *

First Name *

Last Name *

Email Address *

Phone Number *

Fax Number

Address I *

Address II

City *

Country *

State / Province *

Postal Code *

Address I *

Address II

City *

Country *

State / Province *

Postal Code *

Federal Tax ID *
(required for US only)

Seller's Permit / Resale Number *
(required for US only)

Upload Seller's Permit
(Please upload a scanned copy or digital photo of your seller's permit/resale number.)
Allowed file types: jpg, png, pdf.
Max file size: 8Mb - If you choose to skip this section, you will be asked to submit a copy separately by email

Type of Store *—Please choose an option—GiftApparelLifestyleMuseumSpecialityDepartmentBookstoreOther

Type of Sales *—Please choose an option—OnlineBrick & MortarBoth Online and Brick Mortar

Years in Business *—Please choose an option—123456-1011-2021-5051+

Tell us about your store

What other brands do you carry?

Do you have an online store or website? *YesNo

If YES, enter the URL here

Do you plan to sell Clever Idiots Inc products on other websites?
If so, please list all URLs.

Number of brick and mortar stores—Please choose an option—0123456-1011-2021-5051+

If store location is different than shipping address, please enter store address and phone number.

Which of our product lines are you considering carrying in your store? *

How did you hear about Clever Idiots Inc? *

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