Wholesale Credit Application

If you are interested in a Dazzling Designs & Apparel Inc. wholesale account, please submit the following information and fax a copy of your tax certificate or your business license to: 800-507-0989. After you have completed these steps, you will be notified by e-mail with instructions for setting up your account.

Company Information

Company Name:
Store Owner/Manager:
Email Address:
Billing Address:
City:
State:	Zip:
Shipping Address:
City:
State:	Zip:
Phone Number:
Fax Number:
Resale Number:
Type of Business:
Year Established:
Questions or Comments:
	enter the numbers in the box to the left (required)