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ShindigZ Wholesale Program Signup

First Name:* Company Name:*
Last Name:*
Billing Address:* Company's Physical Address:
PO Box: PO Box:
City:* City:
(Use 2 letter code)
(Use 2 letter code)
Zip/Postal code:* Zip/Postal code:
Country:* Country:
Daytime Phone:* Fax:
E-mail:* Your Website:
Confirm E-mail: Company FaceBook Page:
We will send your Order Confirmation to this e-mail address.
Type of Business:*
Party Planner/Decorator/Caterer/Florist/Hotel
Retail Party Store/On-line Party Store/ASI/Promotional
Photography Studio
Other; describe your business:
Federal Tax ID:*
Number of Years in Business:* Sales Tax Exemption Number:
State of Incorporation: D & B Number:
Name of Owner / President:*    
Amount of Business you expect to do to with us during a calendar year:*
Less than $499
$500 - $999
$1000 - $4999
*To ensure your application response is delivered to your personal inbox (not bulk or junk folders), please add to your email "safe" list.