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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 • 5730 Encina Rd., Suite 1, • Goleta, CA 93117-6250
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.
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Store Name: |
_____________________________________ |
| Billing Address: |
_____________________________________ |
| |
_____________________________________ |
| Shipping Address: |
_____________________________________ |
| |
_____________________________________ |
| Store Telephone: |
_________________ Home: ______________ |
| Fax Number: |
_____________________________________ |
| Website Address: |
_____________________________________ |
| Name / Title: |
_____________________________________ |
| Email: (Required) |
_____________________________________ |
| 1. Please select the type of business. (Check all that apply.) |
| ____ Department Store |
____ Distributor |
____ E-commerce Site |
| ____ Executive Gifts |
____ Florist |
____ Furnishings/Decor |
| ____ Furniture |
____ General Gift |
____ Interior Design |
| ____ Manufacturer |
____ Museum Shop |
____ Nature Store |
| ____ New Age |
____ New Business |
____ Showroom |
| ____ Souvenir |
____ Wholesaler |
Other _____________ |
| 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: ____________
(Required)
All information provided is kept strictly confidential.
Please include a copy of your Seller's Permit, Resale Certificate, or Tax I.D.
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KHAN IMPORTS
EST. 1989
Toll Free: 800-260-1064 • Tel. 805-967-8050 • Fax: 805-967-7128
Monday - Friday, 8:00AM - 4:00PM (Pacific Time)
E-mail: khanimports@yahoo.com
www.khanimports.com
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Mailing Address:
5730 Encina Rd., Suite 1
Goleta, CA 93117-6250
USA
Copyright © 1999-2024, 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.
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