Thank you for your interest in Khan Imports. To request a Wholesale Price List,
please print this form, complete and return by fax (805) 967-7128, or mail to:
Khan Imports 126 N. La Patera Lane Goleta, CA 93117-1512
A copy of your Seller's Permit, Resale Certificate, or Tax I.D. is required,
and must be included with this form for your request to be processed.
||_________________ Home: ______________|
|Name / Title:
|1. Please select the type of business. (Check all that apply.)|
|____ Department Store
||____ E-commerce Site|
|____ Executive Gifts
||____ General Gift
||____ Interior Design|
||____ Museum Shop
||____ Nature Store|
|____ New Age
||____ New Business
|2. How long has this store been open?|
|____ Store is not open yet. (Please also indicate when store will open.)|
|____ 0 - 3 Months
||____ 3 - 6 Months
||____ 6 - 12 Months|
|____ 1 - 2 Years
||____ 2 - 5 Years
||____ Over 5 years|
|3. Does this business have a website?|
|____ Yes, site address listed above.
||____ No, we don't have a website.|
|____ Yes, site is under construction.
||____ No, we're thinking about it.|
|4. Does this business have a "physical" retail storefront location?|
|____ Yes, I listed the location above.|
|____ Yes, we have a location but have not opened yet.|
|____ Not at this time, we're thinking about it.|
|____ No, we retail through our website.|
|Other Method of Retailing: (Please specify.)|
|5. Does this business directly import any of it's own products?|
|____ No, we do not import.||____ No, we're thinking about it.|
|Yes, we are currently or have imported from the following countries:|
| _______________ _______________ ______________|
|6. Please describe the "physical" location of this store.|
|(Example: Shopping Mall or Center, Main St., Downtown, Tourist Area,|
Show Booth, Kiosk, Fairs or Festivals, Home Based, etc.)
|7. I am interested in the following product types:|
|____ All Product Types
||____ Bookends & Pencil Holders|
|____ Vases & Planters
||____ Desk & Shelf Clocks|
|____ Bowls, Trays, Wine Glasses||____ Boxes, Jars & Canisters|
|____ Mortar & Pestle Sets
||____ Decorative Spheres & Obelisks|
|____ Drink Coaster Sets||____ Animal Figurines & Sculptures|
|8. I would like to request the following: (Check all that apply.)|
|Please reference our online catalog for initial orders.|
|____ Please e-mail me a link to your "printable" Wholesale Price List.|
|____ Please notify me by e-mail of special wholesale offers.|
|____ Please rush my request, I am interested in placing an order.|
9. Please sign this form prior to submission. Thank you.
I declare that all information provided on this form is correct and true.
I agree that any pieces purchased from Khan Imports will not be marketed, presented or sold on the Internet (websites, auction sites, etc.) in any way.
Signature __________________________ Date: ____________
All information provided is kept strictly confidential.
Please include a copy of your Seller's Permit, Resale Certificate, or Tax I.D.
Toll Free: 800-260-1064 Tel. 805-967-8050 Fax: 805-967-7128
Monday - Friday, 8:00AM - 4:00PM (Pacific Time)
126 N. La Patera Lane ~ Goleta, CA 93117-1512
Copyright © 1999-2019, Khan Imports. All rights reserved.
No portion of this website, including product images, text, or html code, may be copied, reproduced or published without expressed written permission of Khan Imports.
Copyright Policy & Legal Notices