Flipphead Surf Co. Wholesale Application

Thank you for your interest in becoming a wholesale partner with Flipphead Surf Co.! Please complete this application form throughly. We will review your application and notify you of our decision within 7 - 10 business days.

Date of Application

Business Information :

Legal Business Name :

Doing Business As (DBA) ,( if applicable )

Business Type : (e.g., Sole Proprietorship, Partnership, LLC, Corporation )

Federal tax ID Number ( EIN ) :

State Sales Tax Resale Certificate Number :

Physical Business Address ( No P.O. Boxes )

Physical Business Address

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Mailing Address ( if different from physical )

Mailing Address

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Website

Social Media Handles ( Instagram, facebook , etc. ):

Contact Information :

Primary Contact Name :

Primary Contact Title :

Primary Contact Phone Number:

Primary Contact Email Address:*

Order Contact Name ( if different ) :

Order Contact Email Address ( if different )

Account Contact Name ( if different ) :

Accounting Contact Email Address ( if different ) :

How land has your business been operating ?

Please briefly describe your business and target customer :

Do you have a physical storefront ?

YesNo

If yes, please describe its location and atomsphere :

Do you sell online ?

YesNo

If yes, please provide the URL ( s ) :

What other brands do you currently carry ? ( Please list a few key brands )

Whay are you interested in carrying Flipphead Surf Co. products ?

What types of Flipphead Surf Co. products are you most interested in ?

What is your estimated initial order volume ?

Trade References

Please provide information for at least two ( 2 ) current wholesale suppliers.

Reference 1:

Company Name :

Contact Name :

Phone Number :

Email Address:

Reference 2:

Company Name :

Contact Name :

Phone Number :

Email Address:

Terms and Conditions :

By submitting this application, you agree that all information provided is accurate and truthful. You understand that submission of this application does not guarantee wholesale account approval. You agree to adhere to Flipphead Surf Co.'s wholesale terms and conditions, including minimum order quantities, pricing policies, and payment terms, which will be provided upon account approval. You understand that Flipphead Surf Co. reserves the right to refuse any application at its discretion.