Wholesale Application Form
Kultured Rider Wholesale Application Form
Kultured Rider
design@kulturedrider.com
Thank you for your interest in becoming a wholesale partner with Kultured Rider. Please complete the following form to apply for a wholesale account. All fields are required unless otherwise specified.
Business Information
Business Name:
Business Type: (Check one)
☐ Retail Store
☐ Online Store
☐ Distributor
☐ Other:
Business Website:
Business Email:
Phone Number:
Billing Address
Street Address:
City:
State/Province:
Postal/Zip Code:
Country:
Shipping Address (If different from billing address)
Street Address:
City:
State/Province:
Postal/Zip Code:
Country:
Tax and Resale Information
Tax ID or VAT Number:
Resale Certificate Number (if applicable):
(Please attach a copy of your resale certificate or applicable tax documentation.)
Contact Person
Full Name:
Position/Title:
Email Address:
Phone Number:
Order Preferences
Estimated Monthly Order Volume (in USD):
☐ $500 - $1,000
☐ $1,000 - $5,000
☐ $5,000+
Preferred Payment Method:
☐ Credit/Debit Card
☐ PayPal
☐ Bank Transfer
☐ Other (No checks):
Interested in Custom Orders?
☐ Yes
☐ No
Additional Business Information
Years in Business:
Brief Description of Your Business:
Product Categories You’re Interested In (Check all that apply):
☐ Clothing
☐ Accessories
☐ Home Goods
☐ Jewelry
☐ Other:
Terms and Conditions Acknowledgment
By submitting this wholesale application, you agree to the following:
- All information provided in this application is accurate and truthful.
- You have read and agree to the Wholesale Order Instructions and Policy provided by Kultured Rider.
- Wholesale accounts are subject to approval, and Kultured Rider reserves the right to accept or deny any application at its discretion.
Signature
Name (Printed):
Signature:
Date:
Attachments
- Resale Certificate (if applicable)
- Any additional business licenses or documentation
Once we receive your completed application, our team will review your information and respond within 5-10 business days. If approved, you will receive instructions to activate your wholesale account.
For any questions or assistance with your application, please contact us at design@kulturedrider.com.