Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Sign UpLogin With Facebook
Sign UpLogin With Google

New Wholesale Application Form Template

Streamline Your Wholesale Process with This Easy-to-Use Template

Struggling to manage wholesale applications from businesses? This wholesale application form template is crafted for business owners like you who want to streamline the onboarding of wholesalers and retailers. With easy collection of essential details like business name, reseller's permit, and shipping address, you can focus on building lasting relationships. Increase efficiency, ensure compliance with data regulations, and save time for growth-all while enjoying a user-friendly design that's WCAG-aligned. Explore the live template now and simplify your wholesale processing!

Legal business name
Business type
Corporation
LLC
Partnership
Sole proprietorship
Nonprofit
Government
Other
Please Specify:
Federal Tax ID / EIN
Do you have a valid resale certificate?
Yes
No
Resale certificate number
Resale certificate issuing state/province
Resale certificate expiration date
Company website URL
Years in business
Less than 1 year
1-2 years
3-5 years
6-10 years
More than 10 years
Primary sales channels
Online store (own domain)
Online marketplace (Amazon, eBay, etc.)
Physical retail store
Wholesale/distribution
Catalog or phone orders
Pop-up or events
Other
Please Specify:
Product categories of interest
Please Specify:
Primary contact full name
Primary contact job title
Primary contact email
Primary contact phone
Accounts payable contact full name
Accounts payable email
Billing address line 1
Billing city
Billing state/province
Billing postal/ZIP code
Billing country
Shipping address line 1 (if different from billing)
Shipping city
Shipping state/province
Shipping postal/ZIP code
Shipping country
Carrier account number (if applicable)
Bill shipping charges to
Our company account
Recipient carrier account
Third-party carrier account
Estimated monthly purchase amount
$0-$1,000
$1,001-$5,000
$5,001-$10,000
$10,001-$25,000
$25,001+
Payment terms requested
Credit card
Prepaid ACH/wire
Net 15 (on approval)
Net 30 (on approval)
Net 45 (on approval)
Bank name
Authorize a credit review if requesting net terms
Yes
No
Trade reference 1 company
Trade reference 1 email
Trade reference 1 phone
Trade reference 2 company
Trade reference 2 email
Trade reference 2 phone
I agree to comply with seller policies, including pricing and resale restrictions where applicable
Yes
No
Type your full legal name as your signature
Signer title
Signature date
I certify the information provided is true and authorize verification with provided references and bank
Yes
No
{"name":"Legal business name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Legal business name, Business type, Federal Tax ID \/ EIN","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration featuring a wholesale application form template for FormCreatorAI.

When to use this form

When you want to vet and onboard retailers, boutiques, and online resellers, this form keeps everything in one place. Use it to collect legal business details, tax documents, resale permits, sales channels, and trade references so you can approve terms quickly and stay compliant. It works for new partners seeking wholesale pricing, distributors opening a second location, or ecommerce shops scaling from small orders to pallet buys. After approval, you can set up logins with the Create account form. If you are screening shoppers for a retail-only program instead, the Customer application form is the better fit. The result: faster decisions, fewer email back-and-forths, and cleaner records.

Must Ask New Wholesale Application Questions

  1. What is your legal business name, DBA, and tax ID (EIN)?

    This confirms the entity you will invoice and helps you run credit checks and meet tax rules. It also prevents mismatched records and reduces fraud risk.

  2. Do you hold a valid resale certificate or tax-exempt permit? Include the number and issuing state/province.

    This clarifies sales tax treatment and gives you auditable proof. Missing or invalid details delay approval and can expose you to penalties.

  3. Which sales channels do you use (storefront address, website URL, marketplaces)?

    Knowing where they sell helps you confirm brand fit and enforce channel or MAP policies. You can tailor pricing and support to the channels that matter most.

  4. What purchase volume do you expect in the next 90 days, and which product categories will you stock?

    Clear demand signals let you plan inventory, set MOQs, and forecast revenue. Accurate estimates speed up account setup and the right pricing tier.

  5. What payment terms are you requesting, and who are two to three trade references?

    These details drive your credit decision and whether to offer net terms or require prepaid. Strong references reduce risk and help you approve faster.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel