Wholesale Form

Company name

First & Last Name

Email

Phone

Website Link

Type of Store

Brick & Mortar

Online

Both

How long have you been in business?

Just starting

0–1 year

1–3 years

3+ years

Which products are you interested in?

Curtain Shim

Plant Shim

Both

Estimated Order Quantity

10–25

25–50

50–100

100+

Are you interested in:

Bulk pricing

Starter bundle

Have you purchased wholesale before?

Yes

No

Preferred order frequency:

One-time

Seasonal

Monthly restock

Describe your target customer

What types of products do you currently sell?

Do you accept standard shipping rates? (Yes/No)

Yes

No

How did you hear about Lavender Frog?

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