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LuxuryParlor New Wholesale Application

Fields marked with ( * ) are mandatory

First Name *
Middle Name
Last Name *
License # *
Business Name
Billing Address *
City *
State *
Province (Non USA)
Country *
Zip code *
Business Phone *
Fax
Email *
Business description
Number of Employees
Our wholesale program has four price levels:

US Customers from $1000 to $5000 – 5% Discount from the sale price
US Customers from $5000 to $10000 – 7% Discount from the sale price
US Customers from $10000 to $20000 – 10% Discount from the sale price
US Customers from $20000 and Up – 15% Discount from the sale price

International Customers from $2500 to $7000 – 5% Discount from the sale price
International Customers from $7000 to $12000 – 7% Discount from the sale price
International Customers from $12000 to $25000 – 10% Discount from the sale price
International Customers from $25000 and Up – 15% Discount from the sale price

Other sales amount proposals can be considered on customer to customer bases.

Please make a note, that not all the lines of products are available for wholesale.