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Please complete the below application form. Please be as accurate as possible.

We will verify the details you have provided in your application before contacting you. If we receive inaccurate or false information, your application will not receive a response.

The next stage is a phone call from our team to discuss your business strategy in relation to our products.

Once complete, we will notify you on the outcome of your application.

Company Details

Legal Business Name

Entity Type

Tax Exempt ID/Sales Tax ID

Date Established

Phone

Email

Website

Upload your RESALE CERTIFICATE now for faster processing.

How did you hear about us?

Owner Details

First name

Last name

Phone

Same as above

Email

Same as above

Accounts Payable Contact

Same as owner

First name

Last name

Phone

Email

Buyer Contact

Same as owner

First name

Last name

Phone

Email

Billing Address

Login Email

Address 1

City

Post Code

Country

Region / State

Login Info

Password

Confirm Password

I have read and agree to the Routing Guide & Logistics Policy

Apply for 30 days credit terms

By checking this box, you agree to a credit history check. Credit approval criteria applies and this application does not constitute an offer of credit. Should your credit application be successful, you will be issued with a credit limit and your account balance will be due 30 days from invoice date. Needleart World (North America) LLC reserves the right to request a signed credit card authorization on file before issuing credit. Further terms and conditions relating to credit may apply.

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First Name

Last Name

E-Mail

Telephone

Legal Business Name

Entity Type

Tax Exempt ID/Sales Tax ID

Date Established

Phone

Email

Website

Upload your RESALE CERTIFICATE now for faster processing.

How did you hear about us?

First name

Last name

Phone

Email

First name

Last name

Phone

Email

First name

Last name

Phone

Email

Login Email

Address 1

Address 2

City

Post Code

Country

Region / State

Password

Confirm Password

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