Wholesale Account

Thank you for your interest in Jafrum.com. To open a wholesale account with us, please fill out this form and submit. We will send you an email with details on how to get started. Once your application is approved, you can start placing wholesale orders with us online. We look forward to doing business with you!

Company Name
Mr./Ms...
Your First Name
Your Last Name
Your Title
Company Owner's Full Name
Address line 1
Address line 2
State
Country
Zip/Postal Code
Phone Number
E-mail
Fax
Store Size (Sq Ft) if you have a Store
Web Address
Year Established
License / Resale No.
What Type of Stores You Have:
Brief Description of Store / Business
Major Product Brands You Stock
Strongest Selling Season
No. of Employees
Annual Sales Volume
Motorcycle Related Product Purchases
	Please estimate your current volume of motorcycle related product purchases (Yearly Basis)
Trade Reference
	Please provide the Business Name, Contact, Phone Number and Account No.
Trade Reference 1
Trade Reference 2
Trade Reference 3
Additional Contact Information:
	Please provide any additional names and positions of all people who may obtain information about your account:
Additonal Contact Name 1
Position
Additional Contact Name 2
Position
Additonal Contact Name 3
Position
How did you find us?
Other Information