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5

Wholesale Registration

Wholesale Registration

Business Info

*Corporate Name

*Trading Name/ DBA

*Telephone

Website

*Address

*City

*Country

*State/Province

*Zip

*EIN (Tax ID Number)

*Resale Certificate Number

*Type of Business

*Your Market

*Business Model

How many stores?

User Info

* First Name

* Last Name

* Email

* Confirm Email

*Password

*Retype Password

* Phone

Fax

* Title

Other

*Do you currently retail B Swish products?

Yes No

*Join Mailing List?

Yes No

How did you hear about us?

More Info

For Business

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