Download, print, and complete this form to set up a wholesale account with payment terms — whether you're opening a standard wholesale account or applying as a regional distributor. There's a checkbox at the top of the form for which one applies to you.
Business info, principal partners, trade references, bank references, and signature sections — all on a single printable page.
Download the PDFPrint the form, complete every section, sign at the bottom, then email a scan or WhatsApp a clear photo to japjiwholesale@gmail.com or (773) 681-4295. We'll follow up once it's reviewed.
Questions about this form? Reach out and we'll walk you through it.
JapjiWholesale Chicago