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Super Anime Store Wholesale Application Form
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* Indicates required question
Email
*
Your email
Business Name
*
Your answer
Contact Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
How long have you been in business?
*
Your answer
Tax ID Number
*
Your answer
Resale Certificate Number
Your answer
Business Address
*
Your answer
Shipping Address
*
Your answer
Anticipated Sales (annually)
Your answer
What types of products do you carry? Check all that apply.
*
Board Games
TCGs
RPGs
Comic Books
Toys & Hobby
Japanese Snacks
Anime Toys
Anime Clothes
Anime Figures
Other
Required
Briefly tell us about your business and what you intend to purchase.
Your answer
Which one of the following describes your business? Check all that apply.
Brick & Mortar Store Front
Online Retailer
3rd Party Retailer (Amazon, eBay, etc.)
Breaker
Convention Vendor
Please provide your website address where you list products if applicable.
Your answer
A copy of your responses will be emailed to the address you provided.
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