Wholesale Appliation

Wholesale Application

Please fill out the following application to be considered for wholesale buying. We will reach out to you directly with your approval status and password to access the ordering page should you be approved.
Thank you!

* Indicates required field

Company Legal Name *

Business Owner Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Website(s) *

State ID Tax Number *

Please upload a copy of your Retail or State License *

Max file size: 20MB

Type of products sold *

Sales Channels utilized *

URLs used in business *

How did you hear about us? *

Submit