Ecommerce Information

⚠️ Please Note:

To be approved as an ecommerce dealer, your business must meet the following criteria:

- 5+ years in business

- Strong, verifiable organic website traffic

- Must operate a branded, customer-facing ecommerce site

- We do not partner with marketplace-only resellers

Business Website *

How do you drive traffic to your website?

Automated Inventory File *

Daily
Weekly

Email Address to Receive Inventory File *

Are you part of a buying group? *

Name of Buying Group? *

Buying Group # *

Are you an authorized Tempur-Pedic dealer? *

If yes, you will also be authorized to sell our Stearns & Foster Collection

Transportation Type *

Prepaid
Collect
Pickup

Hidden

Terms

Terms Requested *

Principle Information

Owner *

Buyer Name *

Buyer Email *

Buyer Phone # *

Email to receive order acknowledgements *

Accounts Payable Contact *

Accounts Payable Email *

Shipping/Receiving Email *

Trade References

Reference 1 - Company Name *

Reference 1 - Contact Name *

Reference 1 - Phone # *

Reference 2 - Company Name *

Reference 2 - Contact Name *

Reference 2 - Phone # *

The undersigned certifies the above information to be true and correct. The undersigned agrees to respect the sales terms and conditions of Primo International. Milberg Factors is authorized to obtain or exchange any personal information as it may require, with any personal information agent or credit granter with whom the undersigned has financial relations, towards establishing or verifying his financial standing.

Title *

Date

Signature of Applicant

Clear

Dealer Onboarding Form Complete!

Coastline Collection