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)

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