Wholesale Application
Please provide all required details to register your business with us
Business Owner
*
First Name
Last Name
Business Name
*
E-mail
*
example@example.com
Contact Number
*
Website
*
Social Links
Ex: Instagram, Facebook etc
Sales Tax ID
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
*
Please Select
Online
Brick & Mortar
Both
Others, please specify below.
Others
*
Please verify that you are human
*
Submit Registration
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