Wholesale, B2B, and bulk buyer inquiry form template

    Wholesale Inquiry Form for Ecommerce Brands

    Retailers, distributors and corporate buyers don't use your checkout. They want a price list, minimum order quantities and a contact. This form collects what you need to judge a wholesale buyer, so you only spend time on accounts that fit.

    Wholesale Intake Questions

    B2B Qualification
    Question / FieldField TypeWhy Ask It
    Type of buyerRetail store · Online reseller · Distributor · Corporate giftingEach buyer profile requires distinct pricing terms
    Business name and websiteCompany text + URLLets you verify legitimacy before sending wholesale catalogs
    Country or territoryDropdownGoverns shipping, tax rules, and distribution rights
    Product lines of interestMulti-select catalogRoutes to appropriate brand category manager
    Expected order volumeBands: under 100 / 100–500 / 500+ unitsCompares against minimum order quantity (MOQ)
    Order frequencyOne-off · Monthly · Quarterly · SeasonalSeparates recurring wholesale partners from one-time shoppers
    Custom branding needed?Yes / NoTriggers private-label questions only when required
    Resale certificatePDF upload (optional)Necessary for tax-exempt B2B invoicing
    Contact detailsName, role, email, phoneDirect line to commercial purchasing manager

    Smart Conditional Branching

    • Corporate Gifting: Switches to occasion, ship date, and recipient address lists.
    • Custom White-Label = Yes: Opens artwork logo upload and packaging spec fields.
    • Order Size Below MOQ: Displays retail purchase link and consumer coupon code.
    In Action

    Interactive Form Visuals

    Order Volume

    Estimated Initial Order Units
    100 – 250
    250 – 500
    500+ Units
    Wholesale inquiry form with order volume

    Shopify Embed

    brand.myshopify.com/pages/wholesale
    ✓ Responsive Shopify Brand Theme
    Wholesale inquiry form on a Shopify store
    Best Practices

    Tips for This Form

    • State your minimum order on the page and in the form, so small buyers self-select.
    • Don't publish wholesale prices openly. Send the price list after you've approved the account.
    • Ask for the website or social profile. It's the fastest way to check a reseller.
    • Reply within one working day. Wholesale buyers usually contact several suppliers at once.
    Conversion Placements

    Where to Place It

    • Footer link: 'Wholesale' or 'Become a Stockist'.
    • Product pages: 'Buying in bulk or corporate?' link beneath add-to-cart.
    • Shopify: embed on a page with Custom HTML or Liquid blocks.
    Questions & Answers

    Ecommerce & Retail FAQs

    A form on a brand's website where shops, distributors and businesses ask to buy in bulk at trade prices.

    Ready to Deploy This Lead Form?

    Start free on AdPair, customize your questions, and publish to any site in minutes.