Wholesale Vendor Application

To apply for a wholesale account with Mystic Feathers, please fill out the form below. One of our representatives will review your submission and contact you via email with a User ID and Password for online store access for wholesale on the items that we offer at wholesale.

* denotes required field

Company Name:*

Address 1:

City:

State:

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Zip Code:

Contact Person:*

Federal Tax ID Number :*

State Sales Tax ID Number :*

Best time to contact you:

VAT Number (for international vendors):

Your URL:

Phone Number:*

Fax Number:

Email Address:*

If you would like your shipping to be charged to your UPS account, please input your Shipping Account Number:

Enter the code shown: