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Lady NellieTM
WHOLESALE ANDARA ACCOUNT APPLICATION
Initial minimum purchase:   $150.00  (No minimum required on second purchase)
    To open a Wholesale Account, please send an email to CUSTOMERSERVICE@LADYNELLIE.COM
    with the following information which can be copied & pasted into your email:

    First and Last Name:___________

    Address: ______________

    City:__________________

    State (Province):  _____________________

    Zip Code:_________________________

    Country:  __________________________

    Business Name:_______________________

    Business Address: _____________________
                             _____________________
                             _____________________

    Resale Tax ID (if applicable): ________________________

    Type of Business:_______________  
     ( )  Internet Store
     ( )  Physical Store

    Website Address:  ________________