SPRINGWATER WOODCRAFT - EARLY CANADIAN PINE FURNITURE
Retailer Application Form
To begin your application process, please complete the form below. You can also download a PDF version here:
Retailer Application pdf
Fields marked with
*
are required.
*
Indicates required field
Business Name
*
Contact Name(s)
*
Email
*
Alternate / CC Email
*
Primary Phone Number
*
Cell Phone Number
*
Shipping Address (no PO boxes)
*
Line 1
Line 2
City
State
Zip Code
Country
Mailing Address Same As Shipping Address?
*
Yes
No
Mailing Address (if different from Shipping Address)
*
Line 1
Line 2
City
State
Zip Code
Country
Business Number / Tax Number
*
Your Website
*
Please briefly describe your business (Gift Shop, Furniture Store, Designer, etc.)
*
Are you a gift shop, furniture store, or other? Please describe.
Preferred transport carrier (if any)
*
Your location is:
*
Owned
Rented
Year Business Was Established:
*
Receiving Hours
*
eg. 10am to 4pm Mon-Fri
Submit this form with confidence -- we will
never
share your information!
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