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Wholesaler Info

Upon application approval you will receive a wholesale coupon
code to be used for
online purchasing at time of checkout.

Type of Business

     Campus Bookstore Specialty Shop Department Store Representative

     Off Campus Store Gift Store Drug Store 

     Other:

Customer Information

     Company Name:  

     Billing Address:

     City/ State/ Zip:

     Shipping Address:

     City/ State/ Zip:

     Store Phone:   Fax:

     Email:   Web site:

     Number of Years in Business   Tax ID #

Person to contact regarding purchase order and invoice payments:

     Name:   Phone Number:

     Your Name:   Title:

     Date:

    

Falling Star Designs,  Email: info@fallingstardesigns.com | Phone: 918-585-9758| Fax: 918-894-6744
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