Wholesale Application for Fetish Footwear - MLMs Images of Canada

Please fax this application to: 306.842.3882 along with a copy of your GST and business registration

THIS FORM IS FOR USE WHEN applying for wholesale shoes or boots at Fetish Footwear of Canada.


PLEASE PRINT THIS FORM AND FILL IN ALL NECESSARY INFORMATION.



BUSINESS NAME:           ________________________________________
BUSINESS ADDRESS:    ________________________________________
CITY:              _________________________________________________
PROVINCE:   _________________________________________________
POSTAL:        _________________________________________________
CONTACT PERSON:___________________________________________
TELEPHONE: _________________________________________________
FAX NO.       __________________________________________________

TELEPHONE: _________________________________________________

GST NO. ________ ____________________________________________
BUSINESS REGISTRATION NO. ________________________________

E-MAIL:         ________________________________________


SIGNATURE: ___________________________

A little about you:

Do you have online stores and if so what are the URL's ?

Do you have a retail location in Canada and if so where?

What do you estimate you annual purchases to be from MLMs Images?

Minimum initial order is $ 200.00, all subsequent orders are to be a minimum of $ 50.00
Payments will be by check along with your order or by email money transfer.

We ship all wholesale orders within 5 business days.                                    

All payments are to be payable to MLMs Images

MLM's Images

P.O. Box 102
Weyburn, Saskatchewan
Canada S4H 2J8

Phone: 306.842.4105
Fax: 306-842-3882
Toll Free 1-866-942-2262

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