Wholesale Website Request Form

Thank you for your interest. In order to process your website request we need the following information. Please complete each field and submit. We will review your application and you will be contacted within 48 hours. For questions please forgottenshanghai1@gmail.com.

Business Name:

Contact Name:

Street Address :

City, State, Zip :

Phone :

Fax :


Storefont Website Link

Tax ID / resale number :