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Summary
Discover Summary
Shows
Apply
Pay Invoice
Help
FAQs
Contact Us
Shop
New Account Application
Account Information
Store Name
*
DBA
Buyer
*
Email
*
Website
http://
Store Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Mobile
(###)
###
####
Fax
(###)
###
####
Bill To
Accounts Payable Contact Name
*
Accounts Payable Email
*
Same as store address?
*
Yes
No
Preferred Terms (Final terms to be reviewed and approved by credit team)
*
Net 30
Credit Card
Pre-Paid
Ship To
Name
*
Same as store address?
*
Yes
No
Additional Store Information
Brands Carried
*
Store Square Footage
*
List Additional Locations
Target Market: (Age, Gender, Etc)
*
Years in Business
*
Categories Carried:
*
Accessories
Activewear
Apparel
Home
Intimates
Special Occasion
Other
Interested in Selling Summary Brand Products Online?
*
Yes
No
Image URL of Your Store
Markets Attended:
Atlanta
Chicago/Stylemax
Coterie
D&A
Dallas
Deerfield
Denver
Intermezzo
LA Market
Lingerie America
MAGIC
Minneapolis
New England
NY Curve
Project
San Francisco
Vegas Curve
Other
Thank you!
* required field
Name
*
First Name
Last Name
Email Address
*
Subject
*
Message
*
Thank you!