Wholesale Application Form

Business Name *
After submitting this form, please create an account on soleilorganics.com. This is where all ordering will be done. After completing this form, if you don’t have a corresponding account on soleilorganics.com, you will not be submitted to purchase. You must have three months of online sales before approval of online only retail. We do not protect online only zip codes. Please attach a copy of your TAX ID or resellers certificate with this form or it will not be applicable. Shipping times are 3-5 business days no exception.
Business Owner Name *

First Name Last Name
Is your business a store front or online? *

Online Store Front Both
Business Address

Street Address Line 1

Street Address Line 2

City State

Zip Code
IMAGE of storefront exterior

Browse Files
This must be submitted with proof of storefront Cancel of
E-mail *
Phone Number *

Area Code Phone Number
Website URL
Reseller Permit Copy/ Tax ID
Upload a copy now, or email to us prior to your first order
Should be Empty: