NEW TRADE & WHOLESALE ACCOUNTS

I am applying for: *

Wholesale/Reseller Status

Trade/Professional Status

Buyer Contact Name *

First Name

Last Name

Buyer Business Phone *

Country

(###)

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Buyer Mobile Phone

Country

(###)

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Accounts Payable Contact Name *

First Name

Last Name

Accounts Payable Contact Phone *

Country

(###)

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Business Mailing Address *

(primary address where you would like to receive hard-copy documents and communications)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Shipping Address

(if different than the mailing address above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which IAN SAUDE product categories are you planning to purchase? *

Artisan Fine Jewelry

Artisan Furniiture

Artworks

Artifacts & Objects

Area Rugs

Leather Accessories

Scarves & Wraps

Stainless & Tabletop

Throws & Blankets

Other: Special Projects, Private Label, Corporate Gifts

(B) Online Sales?

Yes, I want to sell online

No, I only wish to sell in our brick & mortar location(s)

(C) Professional Affiliations

If you have any of the following professional affiliations, please indicate them below and furnish us with your membership number(s)

AIA

ASID

NKBA

Other

Non-Accredited

Primary Contact at Company (A) *

First Name

Last Name

Company (A) Contact's Phone *

Country

(###)

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Primary Contact at Company (B) *

First Name

Last Name

Company (B) Contact's Phone *

Country

(###)

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Primary Contact at Company (C) *

First Name

Last Name

Company (C) Contact's Phone *

Country

(###)

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