Become a Brand Retailer

This application form will be forwarded directly to the brand for your approval. Please complete with that in mind and be as detailed as possible.

If applying for multiple brands, please complete a separate form for each brand.

Questions? Can’t find what you need?
Email hello@theindiequeens.com and we’ll help get you sorted out!

Account Name *

Buyer Name *

Email Address *

Phone Number *

Website Address *

Address Line 1 *

Address Line 2

City *

State *

Zipcode *

Address Line 1 *

Address Line 2

City *

State *

Zipcode *

BRAND OF INTEREST *

LET'S TALK BUSINESS. COMPETITIVE BRANDS CARRIED: *

WHAT MAKES YOU A GOOD FIT TO BE A RETAILER FOR THIS BRAND? *

IF APPROVED, WHAT IS THE PROJECTED RETAIL VOLUME FOR THIS BRAND ONLY IN THE FIRST YEAR? *

Timing *

PLEASE PROVIDE YOUR UPS OR FEDEX NUMBER FOR BRAND SHIPMENTS IF APPROVED *

This will give you the best shipping rate. Enter "n/a" if not applicable.

PHOTO OF STORE INTERIOR *

Click or drag a file to this area to upload.

PHOTO OF STORE EXTERIOR *

Click or drag a file to this area to upload.

COPY OF RESALE CERTIFICATE *

Click or drag a file to this area to upload.

ANYTHING ELSE? LEAVE ADDITIONAL COMMENTS HERE: