NEW WHOLESALE CUSTOMER SIGNUP FORM

We appreciate your interest in becoming a partner of SHOPPEX CORP. As a premier international wholesale
distributor, we pride ourselves on business-to-business excellence, offering you extensive designer and
independent-label fragrances at wholesale rates.
Here are a few helpful points from our most Frequently Asked Questions:
● Our minimum order is USD 2,500.00 for first-time users.
● Any additional orders will have a lowered minimum of USD 1000.00
● Minimum 6 units per fragrance.
● Form of Payment: Wire Transfer, ACH and Wise.
● Out-of-country and US orders you will require a freight forwarder.
● Our incoterm is EXW (Ex-Works), but we can offer free delivery in Miami.
● We do not currently offer drop shipping services.
● Your order will be processed once your account is approved. Account approvals take 24-72 hours
**Please note that SHOPPEX CORP will not be held liable for any bank fees or transfer fees associated
with a Wire Transfer or ACH payment
The below documents will be required for application approval.
● If you are located in the United States, please submit the following:
o Tax Identification Number (TIN) or EAN
o Resale Certificate
o Driver’s License, Passport, or other personal Government Issued Photo Identification
● If you are located outside of the US, please submit the following:
o Driver’s License, Passport, or other personal Government Issued Photo Identification or Business License.
● We are not responsible for damages or losses due to the carrier.

Please e-mail us at sales@shoppexcorp.com or live chat on our website between 8 AM-5 PM EST Monday-Friday for more information or to talk to one of our sales members.

BASIC INFORMATION

First Name

Last Name

Company Name

Business Phone (Example: +1 212-695-1962)

Your email

BILLING ADDRESS

Company Name

Address type
—Por favor, elige una opción—ResidentialBusiness

Street Address

City

State

Zip Code

Country

Have you Purchased Wholesale fragrances before?
—Por favor, elige una opción—YesNo

TRADE REFERENCES

Company 1

Company 2

Company 3

What is your anticipated monthly purchase amount on wholesale fragrances?
—Por favor, elige una opción—$0 - $5,000 USD$5,000 - $20,000 USD$20,000 - $50,000 USD+ $50,000 USD

STATEMENT OF ACCURACY AND PERMISSION TO VERIFY

To my knowledge, I, the undersigned, have provided all information accurately with the understanding that any information provided is confidential and will not be released to third parties. We understand that the above information provided is subject to verification of my account approval.

Print Name

Position Within Company

Signature

Date

File Upload

I confirm that the information provided is true and I give my consent for it to be reviewed.