Apply For Terms | Lumin Fabrics

Legal Entity *

DBA (if different than organization above)

Shop Phone Number *

Shop Website

Federal Tax ID *

SSN of Owner (owner is considered 51% or more of Legal Entity) *

Owner's Legal Name *

Owner's Phone Number *

Owner's Email Address *

Buyer's Name, Number, and Email Address

Only needed if different than Owner's information above.

Billing Street Address *

Billing City *

Billing State *

Shipping Street Address

Shipping City

Shipping State

If different from billing address.

Shipping Zipcode

Country

How long have you been in business? *

Less than 1 year

12-24 months

25-36 months

37-48 months

49-60 months

More than 5 years

Tax Resale Certificate Number *

Upload Copy of Resale Certificate.

Upload Business License or Tax ID.

Credit References *

Please list three business references only, and please do not list Factors, Benartex, United Notions, Hoffman, or Martingale.

Shipping/Billing Instructions

Please list any specific instructions you'd like for us to follow when shipping to your location, such as weight restrictions, or always use COD, for example.

Would you like a copy of this application to be sent to you for your files?

Yes

No

Terms and conditions *

Yes

No

By opening a wholesale account with Island Batik, you agree to the following terms and conditions.