Wings International Marketing Online Store

Wings International Marketing Ltd
WHOLESALE APPLICATION FORM



 
* Required information is in bold.

  Personal Name of Applicant
 
 
Date of Birth

Month:   Day:   Year:
 
Place of Birth:  
SS#
 
 
Business Name:
Tax I.D.




Mailing Address
  Street or PO Box

 
City
Prov/State

 
Country
Postal/Zip

 
Business Phone
Home/Cell Phone: 


 
Fax: 
Email
 
 
Business Class

Business Type


Individual
Proprietorship
Partnership
Company


Retail
Wholesale
Distributor
Company
Direct Sales
Ecommerce

   
 
Other major vitamin/health food products currently being carried? 



 
Geographical area covered by your current marketing? 


 
How did you first learn about Wings Heart Formula? 


 
Please provide 2 references (name/address/personal contact/phone number


 
What are the main reasons in your decision to market Wings Heart Formula?



         


 

Wings International Marketing Ltd.
6471 Vernon Avenue, Peachland, BC, V0H 1X8 Canada
Fax: (250) 767-6650 Email: info@wingsheartformula.com
(An affiliate of BC Organic Herbs Ltd., Kelowna, BC Canada)

© Wings International Marketing Ltd. Copying prohibited.