Become a Jade Distributor
Please fill out the following information. You will be contacted by a representative for additional information.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Website or Social Media Account
Do you have a Business License? (Required for consideration)
*
Yes
No
Do you have an EIN? (Required for consideration)
*
Yes
No
Do you currently sell any competing product?
*
Yes
No
Do you have a store front?
*
Yes
No
How many years have you been in business?
*
Projected initial order amount? Minimum initial order amount is $10,000 for domestic account and $30,000 for international accounts.
*
$10,000
$20,000
$30,000
$40,000
$50,000
Greater than $50k
Additional information
Submit
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