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Wholesale Purchasing Request Form

If you would like to carry Nectar Silks products at your retail store or boutique, please complete the form below to register to purchase at wholesale prices.  You will receive an email confirmation and a Nectar Silks representative will contact you.  Upon review and approval of your application a code will be assigned for your use when placing orders at wholesale prices.  We look forward to doing business with you.

Thank you,
Rebecca Snure
 

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Company Name*
Tax ID*
Contact Name*
Email Address*
Phone*
Street Address*
City*
State*
Zip*
Type of Business*
Locations*
Anticipated Sales Volume*
Additional Information
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© 2010 Rebecca Snure for Nectar Silks