CookiesBecause.com & ABasketBecause.com
Wholesale Application  PLEASE FAX TO: (914) 232-0545 
PLEASE PRINT IN BLOCK LETTERS AS THIS WILL BE FAXED      

Wholesale Customer Name:

Store Name:

Billing Name on Credit Card:

Billing Street Address:

Billing Street Address #2:

Billing City/State/Zip code:

Phone:

Email address:

Shipping Street Address: (if different)

Shipping Street Address #2:

Shipping City/State/Zip code:

CB/ABB Member User Name:

CB/ABB Wholesale Member Password:

Confirm Password:

Type of Store:

Sales Tax Resale Number:

Special Shipping Instructions:

Do you want us to include your business card or other material in each shipment? Y/N

If so – Please describe the item and send to our mailing address:

* Your Gift Tag Contact Info will be printed at the bottom of each gift tag --

Gift Tag Info Line 1:

Gift Tag Info Line 2:

Do you agree to our policies? (You must say yes to be a wholesale client)

How did you hear about us?

Which search engine, search word, magazine, person, referral?

** PLEASE FAX YOUR RESALE CERTIFICATE TO: (914) 232-0545