PLEASE FILL OUT THE REQUEST FORM. 

Hospital and medical facilities will be given special pricing and considerations so please annotate on the request form your facility name and a contact for verification.

Interested in joining our team as a sales representative for ANNA’S? 

Please contact us Toll Free at 888-266-2770.

  *Please note* To receive wholesale pricing customer must provide a valid Tax ID number

* Required fields
Name *
E-mail Address *
Business Name
Telephone Number *
Business Mailing Address *
City *
State *
Zip Code *
Buyer Name
Buyers Telephone Number
Tax ID Number *
	Check if representing Federal or State government
How did you hear about ANNA'S? *	GSA Google Yahoo ASK Magazine Ad Friend Referral
What do your customers want most from preemie wear? *	Availability Sized correctly Affordability Garments that meet medical needs Quality Price
	Check here if you are associated with the medical community (ie: hospital, medical supply, Dr's office, etc.)
If you are associated with a medical facility do you have a gift shop on the premises?	Yes No
Do you currently carry a preemie line? *	Yes No
I have the following questions regarding your lines OR if you want information regarding drop shipping:
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ANNA'S, LLC

1670 F East Cheyenne Mt. Blvd. Suite 289

Colorado Springs, CO 80906-4050

719.244.7000 / Toll Free 888.266.2770