Search
Wishlist
Log In/Register
Cart
0
About
History
Facility
Testimonials
Jobs / Careers
Support
FAQs
Shipping
Return Policy
Contact Form
News
Directory & Hours
Shop Online
Custom Work
Get Started
Contact Custom Department
Custom Residential
Custom Liturgical
Custom Commercial
Etched & Carved Glass
Other Custom Services
Repairs
Restoration / Preservation
Protective Glazing & Storm Glass
Contact Repair Department
Wholesale
Wholesale Policy
Wholesale Application
Classes
Class Schedule
Blog
Behind the Glass: Henry Ferdinand Helf
Stained Glass: Not Just for Churches Anymore
Franklin Art Glass Meets Wendy
Gift Certificates
About
History
Facility
Testimonials
Jobs / Careers
Support
FAQs
Shipping
Return Policy
Contact Form
News
Directory & Hours
Wholesale Application
Print PDF Version
PDF
1
2
3
4
Company Name
Mailing Address
Street
*
P.O. Box
City
*
State
*
ZIP
*
Use for Shipping Address also
Shipping Address
Street
Suite / Unit No.
City
State
ZIP
Do you have a retail account with Franklin Art Glass?
*
Yes
No
Email Address
*
Desired Username
*
Business Phone
*
Business Fax
Main Contact
*
First
Last
Owner(s) / Officer(s) Names & Titles
*
First Name
Last Name
Title
Person(s) Authorized To Approve Purchases
*
First Name
Last Name
Title
Type of Business Organization
*
Partnership
Corporation
Sole Proprietor
Date Business Was Established
*
MM slash DD slash YYYY
The Purpose Of This Business Is
*
Manufacturer of finished art glass products
Resale of art glass & supplies to the retail market
Terms of Sale
Cash, Check, C.O.D.
AMEX, MC, VISA
I request an application for credit (Net 30)
Does your company require a purchase order?
*
Yes
No
Federal I.D. No. (E.I.N.)
Sales Tax No.
I am attaching with this application the following:
*
Copy of Resale Tax Certificate/License (showing business activity as art glass and/or related craft).
Copy of Yellow Page Phone Listing.
Copy of Phone Bill to the Business (not private individual).
Copy of Business Check or Deposit Slip for Business Checking account.
Copy of Utility Bill (NOT phone) for the Business.
Photo of Commercial Storefront.
Proof of Business Liability Insurance.
Proof of Federal I.D. No. (E.I.N.).
Bank & Trade References (see attached form).
Copies of invoices from other Art Glass Distributors.
Upload Attachments
Drop files here or
Select files
Accepted file types: jpg, gif, png, tif, doc, pdf, zip, Max. file size: 40 MB.
Wholesale Level
*
Gold
Silver
Bronze
I certify that all the information I have provided in and with this application to buy wholesale are true and accurate to the best of my knowledge. I hereby authorize the use of the information provided to establish wholesale status with Franklin Art Glass. I am applying to purchase under the following Pricing Plan:
Signature
*
By authorized executive
Title
*
Date
*
MM slash DD slash YYYY
Click to select date
Name
This field is for validation purposes and should be left unchanged.
Receive the latest product news & promotions
Enter Your Email
*
Phone
This field is for validation purposes and should be left unchanged.
Create a new list
