New Account Information
for Wholesale Purchase of Patterns
Certificate of Exemption Form (also required)


Please print out this form, fill it out, then fax it to us. 
(Your information will not line up correctly if you try to fill it in by typing it while online.)


 email to:  sales@newleafpatterns.com

Back to Wholesale Information

Business Name _________________________________________________________________

Store Name (if different)__________________________________________________________

Contact:_________________________________________ Title __________________________

Email Address: (required for wholesale price list - Please print very clearly!

           ________________________________________________

Billing Address: 
____________________________________
____________________________________
____________________________________
Shipping Address: 
____________________________________
____________________________________
____________________________________

Telephone _________________________________________  Fax __________________________________________

 

State Sales Tax#, Re-Seller's ID, etc: _______________________________ or Fed. ID# ____________________________

Name of Owner ______________________________________________________________

Accounts Payable Contact if other than owner:

Name _______________________________________          Phone ______________________________

Proprietorship?  Yes No      Partnership?  Yes No                Corporation?   Yes No

How Long in Business? ________________ How long at this address? _____________

Are there specific themes you're looking for in quilting patterns (contemporary, traditional, art quilt, modern quilt, cats, lighthouses, tea/coffee, clothing/wearable art, children's, etc.)  _________________________________________________

_____________________________________________________________________________________________________

 

 

 

 

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