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Wholesale

www.MOM2BTradeShow.com

October 17, 18 & 19, 2008

California Market Center, Los Angeles, CA

If your maternity boutique is interested in carrying Belly Cravings, please complete the below wholesale application. A state-issued tax license is required (or a tax-exempt certificate for non-profit organizations). Please fax to 866-273-1593. If you have any questions, please contact us.

Company Name:

Federal Tax ID#:

Contact Name:

Contact Title:

Address:

Phone:

Fax:

Website:

E-Mail Address:

Are you a Sole Proprietorship, Corporation, LLC, Partnership, Non-Profit or Association, Government Agency, or Other (if other, please describe)?

Years in Business:

Annual Sales:

Is this a home-based business?

Describe your business and the kinds of products you currently sell:

How did you hear about Belly Cravings:

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