Wholesale Application
Thank you for your interest! Please allow for 1-2 weeks for application processing. Once your application is processed, we will contact you to schedule a shopping appointment. Reach out to freedomrocksco@gmail.com with any questions.
Name
*
First
Last
Business Name
*
Tax ID number/ Identification
*
For USA sellers. The states exceptions are Oregon, New Hampshire, Delaware, Alaska, and Montana. This is NOT your federally issued EIN number which is formatted with two digits, a dash and then seven digits (i.e.. xx-xxxxxxx). It is issued on a state level when you register with the tax authority. Providing this number will exempt you from taxes.
E-mail
*
example@example.com
Phone Number
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
Please Select
Sales Representative reached out
Promotional Mail out
A Customer requested your products
Internet
Facebook
Instagram
Store visit
Youtube channel
Other (Please specify...)
Where will you be selling?
*
Website, store, markets, social media, etc. Please be as specific as possible.
Notes / Anything else we should know about your business?
Resale License Certificate
*
Browse Files
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Date
-
Month
-
Day
Year
Date
Terms & Conditions:
All information collected is confidential. No payment information is kept on file, all invoices are able to be paid online through a secure site (if paying by cheque, please let us know).
First order is payable immediatley, all orders after are on 30 days terms from receipt of product.
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