Wholesale Account Application
Thanks for your interest in carrying Mila's Keeper products! Please complete the form and we will get back to you within 24 hours!
Name
*
First Name
Last Name
Company Name
*
Company Phone Number
*
-
Area Code
Phone Number
Company Representative Email
*
example@example.com
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Boutique, Independent Retailer
Online
Wholesale
Other
Website:
Message
Tax Exempt ID #:
*
OR
Upload Reseller ID or photo
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