Retail Order Form

Wellmade Retailer Order Form

Please place your order or stock check with this interactive form.

Please Note: Once an order or stock check has been submitted, a team member will reach out to you with confirmation of order and pricing details. One stock or order per submission.

Step 1. Fill out your company details
Step 2. Select if this is an order or stock check (one item per submission)
Step 3. Select your item from the dropdown menu
Step 4. Indicate how many boxes or sq. ft. needed
Step 5. Indicate your shipping method
Step 6. If you would like to have the order shipped on your account, please list in the “Your Shipping Account Number”
Step 7. List your shipping/Will call date
Step 8. List any PO or Reference/Sidemarks
Step 9. Any notes about the order, molding, or shipping please list them in the “Notes” section

Company Name*
Name of Person Placing Order*
Title*
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Order or Stock Check*
Flooring Item*
Flooring Item QTY Requested*

*Please include any moldings requested in the notes section below.
Shipping/Will Call*
Your Shipping Account Number*
Shipping/Will Call Date*
MM slash DD slash YYYY
PO Number
Reference Number/Sidemark
Notes