Patagonia Corporate Sales Application Form

Questions marked by * are required.
1. Organization or Company Name: *
2. Contact Name: *
3. Email Address: *
4. Street Address: *
5. City and State *
6. Zip Code: *
7. Phone Number: *
8. Website or Social Media: *
9. Are you able to meet a 10 unit minimum? If yes, what is the anticipated quantity of your order?: *
10. Please explain the reason for your order: *
11. What is the approximate delivery date for this project? *
12. At this time, we are not able to allow the resale of logo'd gear. Would this be a purchase for internal use?: *
  • Yes
  • No
13. Please select the option that applies to your organization. *