BOZMII WHOLESALENEW CUSTOMER APPLICATIONĀ Please enable JavaScript in your browser to complete this form. Company Name *Resale NumberOptional State *Street Address *City *Zipcode *Business Phone Number *Country *USA, UK, Australia, India, China or other Email * State Website URL/ If Any Business Type *RetailWholesaleSupplier/ DistributorManufacturerOtherPlease write other business type if any Owner/ Buyer Information / Name *FirstLastPhone Numbers *Email *Primary Payment Method *VISA/ MC/AM/Other Credit Card: 3%Add'l feePayPalWire TransfersSignature/Type Your Full Name *Thank you for submitting your wholesale account application with Bozmii Wholesale! Please feel free to send us an email if you have any questions at info@bozmii.comSUBMIT