Wholesale Inquiry Contact Form

Interested in wholesale or bulk purchasing pricing for resale? Please complete the below application.



Laser Crystal Works requires a resale tax ID # for wholesale clients - to protect our retail customers. Once your information has been reviewed, an email will be sent with a link to our online wholesale kit and instructions.

Thank You! We appreciate your interest and look forward to working with you.

Incomplete applications will not be accepted

Wholesale Application.
Company
Contact - First Name
Contact - Last Name
Reseller Tax ID
Web Site
 
Store Open Date/# Years in Business?
Street
City
State
Zip
Email
Re-enter email:
Phone
Fax

Type of Business (check all that apply):
Kind of Store (select main type of store)*

Briefly describe your store; products you sell and what your niche is(i.e. pet boutique, gift store, natural food, toy shop, etc)
How did you discover Laser Crystal Works*
Do You Currently work with a sales rep? If yes, please note who your sales rep is. If direct, please specify direct.*
Request info Online yes
Request info via Mail yes
 
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