Wholesale & International Application Form

Name of Store

Buyer/Owner Name

Email Address

website

Phone Number

Tax ID

Resale License #

Upload Resale Certificate

Billing Address

Address line 1

Address line 2

City

State

Zip Code

Country

Shipping Address (if different)

Address line 1

Address line 2

City

State

Zip Code

Country

How many stores do you have?

How would you categorize your business?

Who is the best contact to reach out to for re-orders?

Who is the best contact for accounts payable?

What other brands do you carry?

Do you sell product online?

Do you do business under any other names?

Please upload a picture of the business from the inside and outside.

Thank you for your request!

Your request has been received and we will get back to you in the next few days.