Catalog Request & Wholesale Application

To receive a catalog & a discount you must have a retail business with a retail store-front
that is open during regular business hours and have the intention of selling our products.

StenSource® International, Inc., 18971 Hess Avenue Sonora, CA 95370
Customer Service: (209) 536-1148      Fax: (209) 536-1805

Wholesale Application Information

IMPORTANT: Please be sure to list the address where you conduct business.
Name of Principal Owner or Stockholder

 Dunn & Bradstreet #
Business Name

Business Telephone

 Business Fax
Contact Name
Title Number of Stores
Business Address
Street (no P.O. boxes)         City            State     Zip               Country


Mailing Address (if different from above)
City            State      Zip               Country


Number of Years In Business

 Number of Years At This Address
Hours of Operation
CHECK  ALL THAT APPLY:   ____INDIVIDUAL    ____PARTNERSHIP    ____CORPORATION    ____RETAILER    ____DISTRIBUTOR    ____MANUFACTURER
CHECK ALL THAT APPLY:

____ Crafts Fabric ____ Tole Painting
____ Memory Books ____ Art Supplies
____ Needlework ____ Kids Crafts
____ Quilting ____ Other


____ Send or Fax Credit Application 		Store Size

____ Under 1000 sq. ft.
____ 1000 to 2000 sq. ft.
____ 2000 to 3000 sq. ft.
____ 3000 to 5000 sq. ft.
____ 5000 to 10,000 sq. ft.
____ over 10,000 sq. ft. 		Estimated monthly purchases from current suppliers:

____ $250.00
____ $500.00
____ $1,000.00
____ $2,000.00
____ over $2,000.00

***MUST BE FILLED OUT IF YOU OR YOUR BUSINESS RESIDES IN THE STATE OF CALIFORNIA***
STATE OF CALIFORNIA RETAIL CERTIFICATE
This is to certify that all material, merchandise or goods purchased by the undersigned from StenSource International Inc. after_____________(date) will be resold by me in the form of tangible personal property; part of the tangible personal property to be produced for sale by manufacturing or assembling; to be exported for sale, use or consumption outside the continental limits of the United States, provided, however, that in the event any of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by the Sales and Use Tax Law to report and pay for the tax, measured by the purchase price of such property. Other: This certificate shall be considered a part of each order which we shall subsequently give and shall continue to enforce until revoked.

Permit Number_______________________

Signature____________________________________________________________