The F'ace Brand - Wholesale Member Form

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Wholesale Member Form

	Thanks for your interest in The F'ace Brand products! To become a Wholesale Member, you must login to your basic account (Click Here to apply) and complete the following form with valid data and you will be notified via e-mail if you are eligible.
	CUSTOMER INFORMATION:
USERNAME (*)	Invalid Input
Email (*)	Invalid Input
	MAILING ADDRESS:
CITY (*)	Invalid Input
PROVINCE (*)	Invalid Input
POSTAL CODE (*)	Invalid Input
PHONE NO. (*)	Invalid Input
FAX NO. (*)	Invalid Input
	SHIPPING ADDRESS:
SHIPPING ADDRESS	SAME AS MAIL ADDRESS Invalid Input
PROVINCE (*)	Invalid Input
COUNTRY (*)	Invalid Input
FAX NO. (*)	Invalid Input
	BUSINESS INFORMATION:
OWNERS NAME (*)	Invalid Input
MANAGER´S NAME (*)	Invalid Input
DEALER REGISTERED LEGAL NAME (*)	Please type your full name.
DEALER TRADE NAME (IF ANY) (*)	Invalid Input
YEARS IN BUSINESS (*)	Invalid Input
NUMBER OF EMPLOYEES (*)	Invalid Input
NUMBER OF STORES (*)	Invalid Input
EST. ANNUAL VOLUME (*)	Invalid Input
TYPE OF BUSINESS (*)	Invalid Input
RELATED COMPANY (*)	Invalid Input
TYPE OF OWNERSHIP (*)	PROPRIETOERSHIP PARTNERSHIP CORPORATION Invalid Input
	TAX NUMBER:
FEDERAL I.D. NO. (*)	Invalid Input
E.I. NO. (*)	Invalid Input
G.S.T. REGISTRATION NO. (*)	Invalid Input
PROVINCIAL TAX (*)	Invalid Input
	REFERENCES (PLEASE LIST 3 MAJOR SUPPLIERS)
	REFFERENCE NO. 1
NAME (*)	Invalid Input
ADDRESS (*)	Invalid Input
PHONE NO. (*)	Invalid Input
	REFFERENCE NO. 2
NAME (*)	Invalid Input
ADDRESS (*)	Invalid Input
PHONE NO. (*)	Invalid Input
	REFFERENCE NO. 3
NAME (*)	Invalid Input
ADDRESS (*)	Invalid Input
PHONE NO. (*)	Invalid Input
WHERE DID YOU FIND US?	Invalid Input
Other	Invalid Input
Email (*)	Invalid Input
USERNAME (*)	Invalid Input

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