Wholesale Member Form

Thanks for your interest in The F'ace Brand products!

To become a Wholesale Member, you must login to your basic account (Click Here to apply) and complete the following form with valid data and you will be notified via e-mail if you are eligible.
CUSTOMER INFORMATION:
USERNAME (*) Invalid Input
Email (*) Invalid Input
MAILING ADDRESS:
CITY (*) Invalid Input
PROVINCE (*) Invalid Input
POSTAL CODE (*) Invalid Input
PHONE NO. (*) Invalid Input
FAX NO. (*) Invalid Input
SHIPPING ADDRESS:
SHIPPING ADDRESS Invalid Input
PROVINCE (*) Invalid Input
COUNTRY (*) Invalid Input
FAX NO. (*) Invalid Input
BUSINESS INFORMATION:
OWNERS NAME (*) Invalid Input
MANAGER´S NAME (*) Invalid Input
DEALER REGISTERED LEGAL NAME (*) Please type your full name.
DEALER TRADE NAME (IF ANY) (*) Invalid Input
YEARS IN BUSINESS (*) Invalid Input
NUMBER OF EMPLOYEES (*) Invalid Input
NUMBER OF STORES (*) Invalid Input
EST. ANNUAL VOLUME (*) Invalid Input
TYPE OF BUSINESS (*) Invalid Input
RELATED COMPANY (*) Invalid Input
TYPE OF OWNERSHIP (*) Invalid Input
TAX NUMBER:
FEDERAL I.D. NO. (*) Invalid Input
E.I. NO. (*) Invalid Input
G.S.T. REGISTRATION NO. (*) Invalid Input
PROVINCIAL TAX (*) Invalid Input
REFERENCES (PLEASE LIST 3 MAJOR SUPPLIERS)
REFFERENCE NO. 1
NAME (*) Invalid Input
ADDRESS (*) Invalid Input
PHONE NO. (*) Invalid Input
REFFERENCE NO. 2
NAME (*) Invalid Input
ADDRESS (*) Invalid Input
PHONE NO. (*) Invalid Input
REFFERENCE NO. 3
NAME (*) Invalid Input
ADDRESS (*) Invalid Input
PHONE NO. (*) Invalid Input
WHERE DID YOU FIND US? Invalid Input
Other Invalid Input
Email (*) Invalid Input
USERNAME (*) Invalid Input