Wholesale Account Setup

Looking for wholesale pricing for your business? We can help!
Simply complete the form below and we will create an account for you…

Business Name*

Billing Street Address*

City*

State*

Zip Code*

Website

Telephone*

Fax

Federal ID#

How did you hear about us?

Buyer Name*

Buyer Email Address*

Email for Invoices*

AP Contact Name

AP Contact Phone

Business Type

Preferred Method of Billing*

We require THREE business references and one bank reference. Please do not include Utilities, Landlord or Common Carrier for business references.

Reference 1

Business Name*

Contact Name

Email address*

Telephone

Reference 2

Business Name*

Contact Name

Email address*

Telephone

Reference 3

Bank Reference

Bank Name*

Bank Address*

Bank State*

Telephone

Bank Account #*

Branch

Bank City*

Bank Zip*

Bank Fax

Bank Contact

All accounts are due and payable according to the terms stated on the invoice. Credit terms are subject to a periodic review and may be modified at the Seller’s discretion. All costs incurred for collection including reasonable attorney fees will be paid by the applicant. I acknowledge that I have read and understand the preceding terms and certify that the applicant agrees to abide by them.

Card Type*

Name on Card*

CVV#/Sec. Code*

Card Number*

Expiration Date*

Billing Address (If Different from Above)

Authorization*

I hereby authorize Boston Textile Co. to charge my card above for products ordered.

This field should be left blank