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: