Distribution Application

If you are interested in carrying the Patricia Fieldwalker Collection of Silk Lingerie please fill out our Distributor/Agent application form in full. We will review your application and contact you as soon as possible. Please note we do not send out catalogs. If you are an individual hoping to purchase wholesale lingerie this will not happen without an existing high end retail store, or a serious plan which is in the works to open a store. We will not send out catalogs or information until we have interviewed you.

Please note that the Patricia Fieldwalker Silk Lingerie line is designed for an exclusive, high end market. We do not sell to individuals, only to retail merchants with a store that can carry our deluxe line.

If you are approved we will help you to select a line of our clothing which will best suit your customers. For new stores we have a minimum order of $1500 USD, COD. Once you have established yourself we can offer you industry standard terms based on your credit history.

Your Name (required)

Title

IRS or EIN#

Bank Name

Bank Address

Full Business Name

Business Address 1

Address 2

City

State

Country

Zip Code

Business Phone

Fax

Email (required)

What type of Business is this?

 Sole Proprietorship Partnership Limited Company

Do you have a retail store?

 Yes No

How long have you selling women's lingerie?

 Just starting 2-3 years 4+ years

What other brands of high end lingerie do you sell?
Please list your best 4 below:

1.
2.
3.
4.

We do not drop ship. Do you understand there is a minimum order of $1500.00 USD and you must carry stock.

 Yes No

Vendor Reference:

Vendor Address

City

State

Country

Zip Code

Phone

Fax

Email (required)

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