Fused Glass & More... (www.cindystalnaker.com) offers wholesale pricing to qualified individuals and companies. Please complete the following form to apply for wholesale pricing, and submit it along with a copy of your state resale tax license.

Two ways to apply for wholesaler status: (1) copy & paste form into MS Word, fill in & email back as an attachment; (2) mail it in: POB 4907, Laguna Beach, CA 92652.  IN EITHER CASE, YOU MUST INCLUDE A COPY/SCAN OF YOUR STATE RESALE TAX LICENSE.  Thank you!

Your Name                                                       Title                                

Company                                          Type of Business                                      

Street Address                                                                                        

City, State, Zip                                                                                       

Daytime Phone                                               Fax                                      

E-mail Address                                      Company website                                     

How did you locate our website?                                                                          

Any other comments or questions?                                                                         

State Resale Tax License Number                                        

I certify that the State Sales Tax Reseller Permit number that I have provided is true and correct and currently active.  All tangible personal property purchased from Fused Glass & More... on and after this date will be purchased for the purpose of resale.

Signature of Applicant