Wholesale Application Wholesale Application Form Company Name Billing Address Line 1 Billing Address Line 2 Billing City Billing Province/State Billing Country Billing Postal Code Is the billing address the same as the shipping address?YesNo Shipping Address Line 1 Shipping Address Line 2 Shipping City Shipping Province/State Shipping Country Shipping Postal Code Phone Years In Business Fax Type Of OwnershipSole ProprietorPartnershipCorporation Director(s) Name(s) Director Email Trade Contacts Reference 1 Company NameContact NameAddressPhoneFaxContact Email Reference 2 Company NameContact NameAddressPhoneFaxContact Email Reference 3 Company NameContact NameAddressPhoneFaxContact Email Do you confirm all the above given information is accurate