WHOLESALE APPLICATION
Please fill in the below fields and a member of our team will get back to you soon.
Service Interested In
*
Please Select
Bulk Ordering/Wholesale
Company
*
Name
*
First Name
Last Name
Position
*
Email
*
example@example.com
Website URL
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Owner Name
*
Owner Email
example@example.com
Office Phone Number
*
Please enter a valid phone number.
Personal Cell Number
Please enter a valid phone number.
Buisness Type
*
How long have you been in business?
*
Are you currently selling products or are you just starting?
*
Where do you sell products? Please list all websites, marketplaces, stores (we restrict Amazon sales)
*
Which product lines would you like to offer your customers?
*
Cleaning products
Mattress protection
Pest control
Pet grooming
Hair care
Other
How many units per product are you looking to purchase? This information is used to generate pricing
*
How many units will you re-order? How often?
*
Tax ID #
*
Upload W9 form
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of
Reseller Certificate #
Upload reseller certificate
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