Authorized Retailer Application
Welcome!

Thank you so much for your interest in Pandere. To enroll in our wholesale program, please complete the information below. We just need some basic information to get started. As soon as this application is complete, we will respond with more details so that you can have a fuller understanding of our terms and our wholesale program.

If you have any questions, just email: wholesale@pandereshoes.com.
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Your first and last name? *
Your title? *
Business name? *
Business address (street/city/zip) *
Your email? *
Company website *
Best phone contact? *
What type of business are you? *
Where do you to sell Pandere products? (check all that apply) *
Required
What types of customers do you see routinely? (check all that apply) *
Required
Please give a ball park estimate of how many customers you see per month that struggle with swelling, braces, hammertoes, bunions, recent surgery. This number will not impact approval. We're just trying to get a sense of your customers. *
How did you hear about Pandere? *
Do you have anything else you'd like to tell us?
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