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?
