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Haley Hill Designs Wholesale Inquiry Form


Thank you for your interest in purchasing Haley Hill Design products for resale.
Please complete the following form in it's entirety so that we may qualify your wholesale account
and provide you with our wholesale pricing, including our Designer Collections, and current specials.

Date
Business Name or DBA Name*
Contact Name*
Title
Street Address*
City, State, Zip*
Telephone*
Fax
Emai*l
Website
Tax ID or SSN#*
How did you hear about us?

Nature of your business?

Do you have a storefront?


How would you like to receive further information?*




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