WHOLESALE PARTNER APPLICATION

WHOLESALE ORDER FORM
Not yet an Approved Wholesale Partner? Apply Now!
Business Name*
Wholesale orders will only be processed for Approved Wholesale Partners.
Store Buyer's Email Address*
example@example.com
Store Buyer's Phone Number*
Billing Contact Email Address*
example@example.com
Billing Contact Phone Number*
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Wholesale reorders are available in increments of 6 Stork on the Stoop™ - Box-Sets.
Order Quantity (in Box-Sets)*
Please email wholesale pricing questoins to StorkontheStoop@gmail.com.
ORDER FULFILLMENT NOTICE
Following review of this order and confirmation that you are one of our approved wholesale partners, an electronic invoice will be emailed to the above listed Billing Contact Email Address*. Orders will not be shipped until the full balalnce of your order invoice is paid. Invoices will include a charge for ground shipping.

If "30+ Box-Sets" or "Call Store Buyer" is selected above, we will reach out to the Store Buyer listed above to answer any questions you may have to finalize your order.
* If available, do you authorize us to process this order using the billing information we have on file?*

YesNo (Send Invoice or No Card on File)
If "Yes" is selected above but we do not have a valid card on file, an electronic invoice will be emailed to the above listed Billing Contact Email Address.
Comments
I certify that I am authorized to place this order on behalf of the above business.
Signature (type name)*

First NameLast Name
Date Signed

MonthDayYear
Date
Should be Empty:

WHOLESALE ORDER FORM

ORDER FULFILLMENT NOTICE