Application for Wholesale Account

Business Billing Information

*First

*Last Name

Title

*Company

Please enter registered company address

*Adddress 1

Address 2

*City

*State

*Zip

*Phone

Fax

*Email

Date Business commenced

Date

Business Information

*Tax ID

Website URL

*How did you learn about Tivoli Couture?

Business Type

What product lines do you currently carry or represent?

Please provide a brief overview of your organization and your business intent

What products are you interested in? (Select all that apply)

Memory Foam Stoller Pads

Infant Car Seat Jacket Bunting

Original Plush Stroller Liners

Slip Covers for ERGO baby Carrier

Mommy's Hug Carrier Cover

Slip Covers for Baby Bjorn Carrier

Miracle Wrap Bunting System

Other Accessories

Agreement

1. All invoices are to be paid via Credit Card or PayPal before orders ship.

2. Claims arising from invoices must be made within seven working days.

3. Wholesale Stock: Min. order of 6. Drop ship: Drop ship fees apply.

4. MSRP is firm unless written permission is given. Wholesaler agrees to maintain website with current product information.