PLEASE NOTE:
ALL FIRST TIME BUYERS, THERE IS A MINIMUM OPENING ORDER OF $500
Questions,
Comments,
Concerns, Returning
Members?   Please
give us a call a
t
937-550-9466
or
info@liberty-wear.com
YOU MUST SUBMIT A COPY OF YOUR RESALE ID/
TAX ID WITH YOUR REQUEST FORM
Thank you for
applying to be a
part of our growing
family!
Use This Form To Contact Us And Become A Member/ Retailer.
Request Form For Membership
LAST NAME:
FIRST NAME:
FAX NUMBER:
PHONE NUMBER:
COMPANY NAME:
WEBSITE/ URL:
RESALE TAX ID:
SHIPPING
ADDRESS:
CITY:
STATE:
ZIP/ POSTAL
CODE:
COUNTRY:
Your Email Will Be used As The Way We CONTACT YOU And Your USER NAME
EMAIL:
USED AS
YOUR
USERNAME
CONFIRM EMAIL:
Your Password Can NOT
Contain Spaces Or Special
Characters.
PLEASE REMEMBER
USERNAME AND
PASSWORD THEY WILL BE
YOUR MEMBER LOG IN
PASSWORD:
CONFIRM
PASSWORD:
PLEASE TELL US HOW YOU HEARD ABOUT US.
REFERENCE:
TYPE OF
BUSINESS :
Please be aware by applying for membership you may be contacted
and emailed. You may also be sent news updates and promotions.
For faster processing or a change in info
please submit a credit application with your
request form.
CREDIT   APPLICATION
PLEASE ADD WAREHOUSE@LIBERTY-WEAR.COM TO YOUR CONTACTS & CHECK SPAM FOLDER
TO MAKE SURE YOU RECEIVE RESPONSE, RESPONSE TIME BETWEEN 1-3 BUSINESS DAYS
Please Fax Or Email Us Your Business/ Resale/ Tax ID To :  937-550-9644   Or EMAIL
WAREHOUSE@LIBERTY-WEAR.COM

Any Applications Received Without A Valid Business Or Resale License Will NOT Be Processed
THANK YOU  For Taking The Time To Fill Out Our Application
And We Look Forward To Doing Business With You.
937.550.9466
info@liberty-wear.com
Copyright © Liberty Wear Apparel. All rights reserved