Wholesale Request Form
Thank you for your interest in becoming a wholesale partner with us! Please fill out the form below to help us understand your business and how we can best serve you.
Business Information
1. Business Name:
2. Tax ID (EIN):
3. Website URL:
4. Business Address:
Street Address:
City:
State/Province:
ZIP/Postal Code:
Country:
Contact Information
5. Primary Contact Name:
6. Phone Number:
7. Email Address:
Business Details
8. Type of Business (e.g., Retail, Online Store, Restraunt, Spa, Distributor):
9. Years in Business:
Additional Information
11. How did you hear about us?
12. Please provide any additional information or special requests: