WHOLESALE ACCOUNT SET-UP FORM



WHOLESALE ACCOUNT SET-UP FORM

We want to thank-you for your interest in our yarns and fibers. To set-up a wholesale account, please fill in the information below and fax or email the form back to us. If you have any questions, please call us at 866-460-YARN

Fax – 905-696-9335 email – debbie@

Company Name: _____________________________________________

Street Address: _____________________________________________

Postal Code/Zip Code: _____________________________________________

City and State _________________ ___________________

Will shipments be sent to a residential or business address (Residential/Business):

_________________

Federal ID number for customs purposes: _____________________________

PST Exemption Number (CDN Customers only): _______________________

Contact Name: ________________________________________

Phone Number: (___) ____-_____

Email Address _______________________________________

Credit Card Type (Visa or M/C): ____________________________

Cardholder’s Name: __________________________

Credit Card Number: ______________________________________

Expiry: ___________________ Security Code: ________________________

Signature: ________________________________________

Billing Address for credit card if different from the mailing address:

____________________________________________

____________________________________________

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