wholesaler application please fill out the following information to apply for a wholesale account with in the raw. customer assistance will respond to your request as soon as possible. company resale no. first name last name phone fax email bill to address city state/province zip code ship to  check if same as billing address city state/province zip code 1. are you an existing in the raw customer? yes   no 2. do you have a store front? yes   no if no, please describe your type of business 3. what kind of products do you sell? 4. how long have you been in business? less than 1 yr.    1-3 yrs.    4-6 yrs.    7-10 yrs.    10+ yrs. 5. how did you hear about us?

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