First Name *

Last Name *

Email *

Business Phone *

Business Name *

Website

Billing Contact Name *

Billing Email Address *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Country *

Is the billing address the same as shipping address? *

Street *

City *

State *

Zip Code *

Country *

Is this a residential address? *

Do you currently have a Cuddle Barn wholesale account? *

What is your account number?

If you do not know your account number, leave blank.

Do you have a representative who currently assists you with your orders? *

Name of representative *

Year Company Founded *

What type of store do you have? *

Do you sell your products online? *

Please note - we are not accepting applications from exclusively online retailers in the United States at this time.

List any sites you retail via (including Amazon/eBay) and the names under which you retail at those sites. *

Upload your resale certificate or business license (.pdf, .jpg, .png, .docx files accepted)

How did you hear about Cuddle Barn?

Account Status

We will be in contact with you soon!

Have a great day!

We will be in contact with you soon!

Have a great day!