Wholesale Application Form

General Information

Name of Store / Trade / Prayer Group

Phone Number

Name

Tax ID / Tax Exempt Certificate

Email

Website URL

Company Address

Billing Address Line One

Shipping Address Line One

Billing Address Line Two

Shipping Address Line Two

Billing City

Shipping City

Billing State

Shipping State

Billing Postal Code

Shipping Postal Code

Billing Country

Shipping Country

Additional Information

Who is the best Contact for Accounts Payable?

Who is the best Contact to reach out to for Re-Orders?

Where did you learn about Shalom Books?

By checking this box, I acknowledge that I have read and understand the wholesale terms and conditions

If you have any questions related to our application or Wholesale program, please email info@shalombooksny.com or call us (347) 456-4631