free shipping on any $50+ order

Wholesale Declaration Form

Please fill out the wholesale declaration form below.

Company Name : *
First Name : *
Last Name : *
Email Address : *
Phone# : *
Company Website :
Address Line 1 : *
Address Line 2 :
City : *
State : *
Zip : *
Sales Tax ID# : *
Upload Tax ID Certificate : *
Store Name : *
Address Line 1 : *
Address Line 2 :
City : *
State / Province : *
Postal Code : *
Country : *
Do you sell online? : *
Do you sell on any third party websites? *
Security Code : *
DPM Fragrance requires that any lower price than MAP (Minimum Advertised Price) shall not appear in any advertising or on websites, or to be communicated electronically, unless specifically approved in writing by DPM Fragrance. Violation of the “Minimum Advertised Price” policy will result in a three (3) month suspension of orders and shipments of DPM’s products for the first offense; and a termination of orders and shipments of DPM’s products after a second violation.*
The information above is true and accurate to the best of my knowledge. I have read and understand the map policy enforced by DPM Fragrance.*
Your Name : *
Date : *
For questions or assistance, call 800-748-9249
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