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Wing Lam Enterprises Website: www.WLE.com
Email: wleorders@wle.com |
APPLICATION FOR WHOLESALE ACCOUNT
Business
Information
Name of Business __________________________________________________________________________
Type of Business ___________________________________________________________________________
Name of Owner(s) __________________________________________________________________________
Business Address___________________________________________________________________________
City__________________________________________________State________________Zip_____________
Contact Information
Primary Contact_________________________________________Position____________________________
Phone #______________________Fax #__________________Email_________________________________
Alternate Contact________________________________________Position____________________________
Phone #______________________Fax #__________________Email_________________________________
Persons Authorized to submit order ____________________________________________________________
Shipping Information
Ship to: _________________________________________________________________________________
Shipping Address__________________________________________________________________________
City________________________________________________State_________________Zip_____________
Billing Information
Primary Card: ____ Visa ____ Master Card ____ American Express ____ Discover
Credit Card #______________________________________________Expiration Date__________________
Name as appears on Card___________________________________________________________________
Alternate Card: __ Visa __ Master Card __ American Express __ Discover
Credit Card #______________________________________________Expiration Date__________________
Name as appears on Card___________________________________________________________________
Other Billing Options (Please indicate if this will be your primary method of payment)
Personal Check __ Processed
immediately, expect an average two week turn around.
Company Check __ Processed immediately, expect an
average two week turn around.
Money Order __ Processed immediately, expect
an average two week turn around.
Cashiers Check __ Processed
immediately, expect on average a two week turn around.
Wire Tranfer __ Only
on orders over $10000
Name of Preparer___________________________Signature________________________Date___________
Please enclose a copy of business license
and resale permit in addition to this form.