Wholesale Account Questionnaire 

Thank you for your interest in Shay Furniture! 

NOTE: If you have not already created a VIP account, please do so by clicking here. Once completed, please sign in here to confirm that you can see VIP pricing. If you can see the pricing in blue, you will then only be one step away from going wholesale! Once we can confirm your VIP account information, we will then review your request for wholesale.

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Email *
Contact Full Name *
Business Name *
Business Address
Who is the purchaser (decision maker) at your business? *
Tax ID Number (if applicable)
Contact Phone Number *
Do you reside within a 100 mile radius of Portage, Indiana 46368? *
Do you expect to make more than 4 purchases per calendar year? *
How much do you expect to spend with us within the first 6 months? *
Which of the following best describes your business or reason for wholesale account? Please check all that apply. *
Required
Please include any other information that could be helpful for us to better understand your situation.
Please read and agree to our Terms of Service *
Required
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