Here’s a suggested “Buy for Business” form format tailored for your eCommerce website, aimed at businesses or bulk buyers looking for wholesale or special B2B deals.


🏢 Buy for Business – Inquiry Form

1. Company Information

  • Company Name (text)
  • Business Type (dropdown: Retailer, Wholesaler, Distributor, Manufacturer, Service Provider, Other)
  • Business Registration Number (text)
  • Website (if applicable) (optional, URL)

2. Contact Person Details

  • Full Name (text)
  • Email Address (email)
  • Phone Number (tel)
  • Position/Role (text)

3. Shipping & Billing Info

  • Billing Address (textarea)
  • Shipping Address (checkbox to copy billing, then textarea)
  • Preferred Shipping Method (dropdown: Standard, Express, Freight, Other)

4. Purchase Intent

  • Products of Interest (multi-select or checkboxes)
  • Estimated Order Quantity (text or dropdown: e.g. 10–50, 51–200, 201+)
  • Frequency of Orders (dropdown: One-time, Weekly, Monthly, Quarterly, Other)
  • Do you require a quote? (yes/no toggle)

5. Tax & Legal

  • Tax ID / VAT Number (text)
  • Upload Business License / Tax Certificate (file upload – image or PDF)

6. Additional Notes

  • Comments or Specific Requests (textarea)

7. Consent & Submission

  • Checkbox: ☐ I confirm that the above information is correct.
  • Checkbox: ☐ I agree to the [Terms of Service] and [Privacy Policy].
  • [Submit Inquiry] (submit button)

Would you like me to generate the HTML/CSS code for this form as well?

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image/svg+xml

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