Wholesale

Wholesale Enrollment Form

ConColor Imports Inc. contains a vendor/customer approval process. The first step on the process is to review the vendor/customer basic information described in the form below. Please fill out the form completely so that we may begin reviewing your application.

After we review and approve your completed application, you will receive an email with your account information and instructions regarding accessing your account and placing your first order. We appreciate your business. Thank you!

Privacy Information

All information collected on this form is used for the sole purpose of conducting business with your company, and is kept confidential. However, we may disclose information as required by governmental authorities.

1. How did you find our web site?
2. Company Name
3. Company Type
4. Does your business have a Resale License?		Yes No
5. Does your business have a Federal Tax ID?		Yes No
6. Does your business have a Business License?		Yes No
7. Address
Street Address
City	State	Zip	Country
8. Have you sold ConColor Imports products in the past?		Yes No
9. Do you currently sell ConColor Imports products?		Yes No
10. Please check the box next to each of the following that pertain to your business.
Physical Retail Store
Multiple Locations
Franchisee
Sell Outside USA
Mail Order
Online retail Sales/Internet
Franchiser
Distributor
No Stock/Drop Ship
11. Please list other brand(s) you currently sell
12. Please provide a brief description of your business
13. Company Web Site URL
14. All web site URLs where you will sell ConColor Imports Products (please list one per line)
Primary Contact Information
First Name		Last Name
Email Address		Telephone
Title/Position		Fax
Additional Comments (optional)