LaserInk Wholesale

Section 1: Business Information

Business Name

Include any Doing Business As (DBA) names if applicable

Primary Contact Person

Full Name and Title

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Website

Instagram

Section 2: Business Details

Do you sell online:

List all platforms. Exp: ebay,amazon,website

Tax ID Number

Years in business

Resale Number

Business Model (Check all that apply)

Brick and Mortar Retailer

Online Retailer

Distributor

Other*

*Other

Please upload a copy of your Resale Certificate

Acknowledgment & Agreement

By hitting apply below, you certify that the information provided in this application is accurate and complete. You acknowledge and agree to abide by all terms and conditions of the wholesale program, including but not limited to pricing, minimum order quantities and payment terms.

You also authorize LaserInk to verify the informaion and conduct any necessary background checks

I agree to the terms and conditions of the Wholesale Program above.

Full Name and Title of person applying