Vendor Application(additional information) Primary Contact * First Name Last Name Business Name * Email * Phone * (###) ### #### Website http:// Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Social Media Channels Please paste direct links In business since MM DD YYYY Type of Business Choose all that apply Online Retail Single Physical Location Multiple Physical Locations What about the Uniquely MC brand makes you want to carry my products in your store? Thank you!