New Account Information
for Wholesale Purchase of Patterns
Fax to: 503/584-4002
or Email to: sales@newleafpatterns.com
Certificate of Exemption Form (also
required)
Back to Wholesale
Information 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. 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
___________________________________
OR Fed ID#
_____________________________
State Sales Tax #: ____________________________________
Name of Owner ____________________________________________________
Accounts Payable Contact if other than owner:
Name ________________________________ Tel
______________________________
Proprietorship? Yes No Partnership? Yes No Corporation? Yes No
How Long in Business? ________________ How long at this address?
_____________
Store Information:
Type of Store:
___ Quilt Store ___ Fabric Store ___ General Mercantile
___Other
Machine Dealership? ____________________________________
Special Interest Areas
___ Workshops ___ Heirloom ___ Clothing Fabric ___ Wearable Art
Other_____________________
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