Wholesale Account Application Form
Thank you for your interest in becoming a Golden Moon Tea partner! In addition to wholesale online purchasing, your Golden Moon Tea wholesale account always remembers your special pricing for all products! You are also able to review your complete order-history details, auto-load any past order (big time saver), and assign products to ship to unlimited locations within a single order!
Please complete the wholesale application below.
Wholesale Form:
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*Your Email Address
(This will be your username) |
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For faster approval, please use your primary company email address (instead of yahoo, hotmail, etc. unless that is all you use). This will be your username for login to your wholesale account once approved.
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| *Password |
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| *Verify Password |
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| *Company Name |
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Please be specific (i.e. store number, division, etc. |
| *First Name |
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| *Last Name |
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| *Address |
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| Address Line 2 |
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| *City |
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| *State/Province |
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| *Zip/Postal Code |
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| *Country |
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| Military Address (APO) |
This is a military address:
Yes
No
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| *Purchasing Contact Name |
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| *Email Address |
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| *Phone |
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| Fax |
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| DUNS # |
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| *State Tax ID # |
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| Comments |
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