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Jill's Homestead Wholesale
Please fill out this form if you have a retail business and would like to offer Jill's Homestead products.
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What is your retail business name and full address?
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Your answer
What is your store's website?
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Your answer
What is your store's facebook page? (please put direct link)
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Your answer
List your full name and title:
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Your answer
What is your direct email address?
Your answer
What is your Tax ID number for your retail store?
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Your answer
What is the nature of your business? What types of goods/services do you offer?
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Your answer
Do you agree that any orders placed must have payment provided up front before the order is processed? (Sezzle is available for payments)
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Yes
No (please discontinue applying)
What specific products from Jill's Homestead are you interested in purchasing?
Your answer
How soon are you wanting to place an order?
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As soon as possible
Within 30 days
Just looking for more information.
What interests you in Jill's Homestead? Do you currently offer other leather goods? If so, what are you looking for in moving to Jill's Homestead?
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Your answer
Acknowledgement:
I understand that if other retailers (including Jill's Homestead HQ) are within 50 miles, I may be declined due to oversaturation of one area.
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Yes
No (please discontinue application)
Required
Thank you! We will be in touch within 5-10 business days.
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