Wholesale Order Form
Qualify wholesale buyers with volume requirements, delivery schedules, and credit terms
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What's Included in This Template
8 Fields
Pre-configured fields with the right input types, validation, and layout for e-commerce.
Full Customization
Change colors, fonts, add your logo, rearrange fields, and make it match your brand perfectly.
42+ Integrations
Connect with Mailchimp, HubSpot, Zapier, n8n, Google Sheets, Slack, and more. Automate your workflow.
Form Structure
Multi-page layout keeps your form organized and easy to complete.
Eight fields, five to eight minutes of a buyer's time, and one clear verdict at the end: is this inquiry worth a quote? That is the whole job of this form. It qualifies wholesale buyers on volume requirements, delivery schedules, and credit terms before anyone on your team gets on a call, so the conversations you do have are with businesses that can actually place bulk orders. Buyers move through a cover page, two content pages, and an ending page, with a progress bar showing how far they have left.
Tax IDs and volume estimates do the qualifying for you
Five of the eight fields are required: full name, email, company name, a Tax ID or business license entry, and a Products Interested In dropdown offering Category A, Category B, Category C, or Full Catalog. The tax ID requirement alone filters out most casual shoppers hunting for a bulk discount, since retail customers rarely have one to type in.
The other three fields are optional: a phone number, a numeric Estimated Monthly Order Volume, and an Additional Requirements box where buyers spell out delivery schedules, packaging needs, or credit term expectations. Leaving volume optional sounds counterintuitive, but it works. Serious buyers fill it in to speed up their own quote, and the ones who skip it have told you something useful too.
Reading the responses before you reply
Every submission lands in your Uplup dashboard with response analytics and per-question breakdowns, so you can see which product categories draw the most interest and how volume estimates cluster across applicants. Export the lot to CSV when it is time to load qualified buyers into your CRM, or connect webhooks and Zapier to push each new application into your pipeline the moment it arrives.
Because company name and tax ID arrive together on one submission, sorting applicants into quote now, verify first, or politely decline takes minutes instead of a week of back-and-forth email.
Rename Category A before you send it anywhere
The four product options ship as placeholders, so your first edit is swapping them for your actual lines or price tiers. From there you can add fields, reorder pages, and apply your logo and brand colors so the form looks like yours rather than a template library's. It runs in traditional page-by-page mode by default, which fits a business form like this, though conversational mode is available if you prefer one question at a time.
Distribution is flexible: send a direct link in outreach emails, print a QR code on trade show line sheets, drop the embed snippet on your wholesale page, or use the shortcode from the Uplup WordPress plugin if that is your stack. The template comes with the Pro plan, and every field, option, page, and color stays editable after responses start coming in.
Who Is This Template For?
This template works for a wide range of goals and industries.
Screening new wholesale accounts
Put the form behind your wholesale inquiry link so every prospective stockist supplies a company name, tax ID or business license, and product interests before a rep spends time on them. The required fields do the first pass automatically.
Collecting leads at trade shows
Print the form's QR code on booth signage and line sheets. Buyers scan, pick the categories they carry, and note their estimated monthly volume on their own phone, so you leave the show with structured applications instead of a stack of business cards.
Prioritizing quote requests by volume
The numeric Estimated Monthly Order Volume field and the Additional Requirements box give your sales team what they need to rank inquiries. High-volume applicants with clear delivery expectations get quoted first, and the data exports to CSV for your CRM.
Key Features
Tax ID required up front
Tax ID or business license is a required field, alongside company name and contact details. Retail shoppers chasing a bulk discount rarely make it past that line, so submissions skew heavily toward legitimate businesses.
Product interest dropdown you can rename
The Products Interested In select ships with Category A, B, C, and Full Catalog as placeholders. Swap them for your real product lines or price tiers in the editor before sharing the form.
Structured pages with a progress bar
A cover page, two content pages, and an ending page keep the 8 fields from feeling like a wall of inputs, and the progress bar shows buyers how close they are to done. Typical completion runs 5 to 8 minutes.
How It Works
Choose This Template
Click "Use This Template Free" to get started. You will get a full copy of this form in your account, ready to edit.
Customize It
Edit the fields, update the design, add your branding, and set up integrations. Everything is editable from the visual builder.
Share & Collect Responses
Publish your form and share it with a link, embed it on your website, or post it on social media. View responses in real time.
Frequently Asked Questions
How long does it take a buyer to complete this wholesale order form?
Can I replace the Category A, B, and C options with my real product lines?
Is the tax ID field required for buyers to submit?
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E-CommerceReady to Use This Form Template?
Customize the fields, add your branding, set up integrations, and start collecting responses today.
