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Wholesale Application Form

Wholesale application forms help you collect information from businesses interested in purchasing your products at wholesale prices. This guide covers the wholesale form templates available in Qivra Form Builder.

Wholesale forms help you:

BenefitDescription
Qualify LeadsScreen potential wholesale customers
Collect Business InfoGet necessary company details
Streamline ProcessStandardize applications
Protect PricingControl who sees wholesale rates

A comprehensive form for new wholesale accounts.

Included Fields:

FieldTypeRequired
Business NameTextYes
Contact NameTextYes
EmailEmailYes
PhonePhoneYes
Business TypeDropdownYes
Tax ID / VAT NumberTextYes
Business AddressText AreaYes
WebsiteTextNo
Years in BusinessDropdownNo
Annual RevenueDropdownNo
Product InterestMulti-SelectYes
Expected Order VolumeDropdownYes
Additional CommentsText AreaNo

Best For:

  • B2B businesses
  • Manufacturers
  • Distributors
  • Brands seeking retailers

A simpler form for initial wholesale inquiries.

Included Fields:

FieldTypeRequired
Company NameTextYes
Contact PersonTextYes
EmailEmailYes
PhonePhoneYes
Products InterestedMulti-SelectYes
MessageText AreaNo

Best For:

  • Initial inquiries
  • Smaller businesses
  • Quick screening

For businesses wanting to resell your products.

Included Fields:

FieldTypeRequired
Business NameTextYes
Contact NameTextYes
EmailEmailYes
PhonePhoneYes
Business TypeDropdownYes
Store TypeDropdownYes
Store AddressText AreaYes
Website / Social MediaTextYes
Current Brands CarriedTextNo
Why Our ProductsText AreaYes
ReferencesText AreaNo

Best For:

  • Retail partnerships
  • Brand expansion
  • Selective distribution
  1. Go to Qivra Form Builder
  2. Click Templates
  3. Filter by “Wholesale” category
  1. Preview available templates
  2. Choose one that fits your needs
  3. Click Use this template

Modify for your business:

  • Adjust required fields
  • Add product-specific options
  • Include your terms
  • Update branding

Common business type options:

OptionDescription
Retail StorePhysical storefront
Online StoreE-commerce only
DistributorSells to other businesses
ManufacturerMakes products
Service ProviderUses products in services
OtherCatch-all option

Help applicants estimate volume:

CategoryRange
SmallUnder $1,000/month
Medium$1,000 - $5,000/month
Large$5,000 - $20,000/month
EnterpriseOver $20,000/month

List your product categories:

  1. Create a Multi-Select field
  2. Add your product categories
  3. Allow multiple selections
  4. Helps with qualification

Add file upload for verification:

DocumentPurpose
Business LicenseVerify legitimacy
Tax CertificateTax exemption
Resale CertificateSales tax exemption
Product PhotosCurrent retail setup

Break long forms into steps:

Step 1: Contact Information

  • Business Name
  • Contact Name
  • Email
  • Phone

Step 2: Business Details

  • Business Type
  • Tax ID
  • Years in Business
  • Annual Revenue

Step 3: Business Address

  • Street Address
  • City
  • State/Province
  • Postal Code
  • Country

Step 4: Order Information

  • Product Interest
  • Expected Volume
  • Preferred Payment Terms

Step 5: Additional Information

  • Website
  • References
  • Comments
  • Document Upload
BenefitWhy It Matters
Less overwhelmingEasier to complete
Progress trackingUsers see progress
Conditional logicShow relevant fields
Better completionHigher finish rate

Include questions that help you qualify leads:

QuestionWhat It Reveals
Business typeFit with your model
Years in businessStability
Order volumeRevenue potential
Current brandsCompetition
Target marketAudience alignment
Make RequiredKeep Optional
Contact infoWebsite
Business nameSocial media
Tax IDReferences
Product interestComments

Set expectations in the form:

After submitting:
- We'll review your application within 2-3 business days
- Approved accounts receive login credentials via email
- Minimum first order: $500
- Payment terms: Net 30 for approved accounts
  1. Route to sales team email
  2. Include all key information
  3. Add internal notes section
  1. Receive - Get notification
  2. Review - Check qualification criteria
  3. Verify - Validate business info
  4. Decide - Approve or decline
  5. Respond - Contact applicant

Approval Email:

Dear {business_name},
Congratulations! Your wholesale application has been approved.
Your account details:
- Login URL: [wholesale portal]
- Username: {email}
- Password: [temporary password]
Minimum order: $500
Payment terms: Net 30
Welcome to our wholesale program!

Decline Email:

Dear {business_name},
Thank you for your interest in our wholesale program.
After careful review, we're unable to approve your application at this time.
We encourage you to:
- Continue shopping at our retail store
- Reapply in 6 months if circumstances change
Thank you for your understanding.

Create a professional wholesale page:

  1. Explain your wholesale program
  2. List requirements and benefits
  3. Include the application form
  4. Add FAQ section

Control who sees the form:

MethodHow
Password pageShopify password protection
Hidden pageNo public navigation
Customer loginOnly logged-in customers

Add wholesale link:

  • Footer links
  • About page
  • Contact page
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