National Partners

Wholesale Account Registration Form

Trust is at the cornerstone of every successful, ongoing relationship. The Me Time
team strives to earn and maintain your trust. It is the standard for everything we do. Because of this commitment, we never sell, rent or trade e-mail addresses with any other company.

Billing Info:

First Name* Last Name* Company Name Address 1* Address 2 City* State* Zip*

Phone* Fax Email* Date Business Started Business Tax ID#* Owner/Principal Website URL

Shipping Info:

First Name* Last Name* Address 1* Address 2

City* State* Zip* Company Name

Banking Info:

Bank Name Address 1 Address 2 City

State Zip Phone Fax

Trade References:

Account Number Company* Name* Address 1* Address 2

City* State* Zip* Phone* Fax

Trade References:

Account Number Company Name Address 1 Address 2

City State Zip Phone Fax

Trade References:

Account Number Company Name Address 1 Address 2

City State Zip Phone Fax

Type of Company (check all that apply) Fashion/Boutique Gift Resort Sport

Fitness Footwear Other

Clientele (check all that apply) Women Men Teens Kids Infants Other

Retailer Location (check all that apply)

Number of Locations
Number of Locations
Number of Locations

Approximate Annual Sales

How did you hear about Me Time? Internet Search Engine Website Advertisement Referral
Blog Advertisement Press Release Print Ad Tradeshow
Sales Representative Name:

Other:

Me Time Shop Account E-mail*
Password*

Me Time

Categories

National Partners

Wholesale Account Registration Form