Retailer App Part I

We are always looking to add new retailers to our line. For consideration, please fill out our retailer application to see if you qualify. Once you have the form filled out, you can hit the submit button in the top right corner of the form send it in via fax or email.



If you cannot access the PDF file above, please cut and paste the following information into an email and send it to: wholesale@plainmary.com.

Date:
Business Name or DBA:
Resale No.:
Contact Name:
Title:
Email:
Phone:
Fax:
Mailing Address:
Shipping Address:

Business Website:
Unique Visitors/Month:
Annual Sales:

Number of Locations:
Square Footage:
Years in Business:

Type of Business: Baby Boutique, Gift Boutique, Children's Specialty Retail, Maternity, Other?

Venue of Business: Brick & Mortar, Website, Both?

Please describe your store, products, favorite brands and target clientele?

How did you hear about us?

Reason for application submission -become approved retailer or general inquiry?