wholesale application
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Wholesale Application
 To apply for a wholesale account, Please complete the information in this form.
• In addition to filling out this form, please fax a signed copy of your resale license to this number: (253) 541-1293
• Once we receive your information, we will contact you within 2 to 5 business days.
EZ Laser Designs may NOT be sold on eBay or any other auction-type web site.
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Contact Info
Company Name: 
First Name: 
Last Name: 
Address: 
City: 
State / Province: 
Zip Code: 
Country: 
Phone: 
Fax: 
Email: 
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Type of Business
 
 Retail, Brick & Mortar Storefront
 
 Online Store (URL) 
 
 Other - Explain:


Yes   No  
I am a current customer of EZ Laser Designs.
Yes   No  
Do you need a bar code printed on your merchandise?
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