Ritzy Baby baby car seat covers, infant car seat covers

Wholesale Application

Store Information

Name:

Corporate Name:

Street Address:

City/State/Zip Code:

Phone Number:

Fax Number:

Contact Person:

E-mail:

Web Address:

Ship To:

Bill To:

Principal Owner:

Corporate Tax ID:

Buyer's Name:

Billing Information

Method of Payment
(choose Credit/debit card, PayPal, Check, or Money Order):

If mailing check or money order,
please leave the rest of this section blank.

Name (as it appears on card or PayPal account):

Billing Phone:

Card Number or PayPal e-mail address:

Billing Address:

Expiration Date (if using credit card):

Trade References

Name/Address/Phone:

Name/Address/Phone:

Additional Information

Retail Store
Brands carried in store:

Years in business:

Number of stores:

Online
Monthly Traffic:

Years Online:

Required

Please e-mail or provide links to the following:
Two interior and one exterior photo of retail store, if applicable.

Thank you!