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 NameLast Name
Is your business a store front or online?*

OnlineStore FrontBoth
Business Address

Street Address Line 1

Street Address Line 2

CityState

Zip Code
IMAGE of storefront exterior

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

Area CodePhone Number
Website URL
Reseller Permit Copy/ Tax ID

Upload a File
Upload a copy now, or email to us prior to your first order Cancelof
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