Home
Collection
Info
About
Contact
Returns / Exchanges
Stockists
wholesale
Sign In
My Account
Menu
Street Address
Los Angeles, CA
Phone Number
Made with thought in Los Angeles, CA
Your Custom Text Here
Home
Collection
Info
About
Contact
Returns / Exchanges
Stockists
wholesale
Sign In
My Account
WHOLESALE APPLICATION
Please fill out this form to apply for a wholesale account with PLTNC
SHOP NAME
*
CONTACT NAME
*
First Name
Last Name
CONTACT EMAIL
*
WEBSITE
http://
SHOP TYPE
*
BRICK & MORTAR
ONLINE
BOTH
PHYSICAL SHOP ADDRESS
(WHERE APPLICABLE)
TELL US ABOUT YOURSELF
*
HOW LONG HAVE YOU BEEN IN BUSINESS? WHAT OTHER BRANDS DO YOU CARRY? DO YOU DREAM IN COLOR?
RESELLER PERMIT #
(WHERE APPLICABLE)
HOW DID YOU HEAR ABOUT US?
Thank you!
