Contact Us

We would love to hear from you!  

         

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

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Wholesale Application

Wholesale Application

Thank you for your interest in HiCoup Kitchenware products.  Please complete the “Wholesale Application” form below and provide us with as much detail as possible.  We will process your information and get back to you within 48 hours.  If your application is approved, you will receive a “Wholesale Pricing List”.

We look forward to developing a long-term relationship with your company that will be profitable for us both.


COMPANY INFORMATION
Address
Address
http://
Date Established
Date Established
CONTACT INFORMATION
Name
Name
Phone
Phone
PROJECTED ANNUAL SALES VOLUME
SALES CHANNELS
Sales Channels