Retail Application
Thank you for your interest in our Retail partnership program! All applications are subject to review and approval. Please email Info@WaveBlock.com with any questions or concerns.
Company Name
Contact Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why do you see WaveBlock as a good fit for your business?
What services are you interested in?
Store front - store front for our retail space
Online website
In person/word of mouth
Social media
Events
Amazon
Etsy
Ebay
Drop shipping
Would you like to be notified about promotional services?
Yes
No
Do you have a display unit or means to showcase product?
I have one and will submit for approval
I need help with ideas - we would accept ideas!
Not sure
N/A
Please upload photos of your store front and where you see WaveBlock being a best fit for displaying (if applicable).
Browse Files
Drag and drop files here
Choose a file
Cancel
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How many units are you interested in purchasing at 50% off MSRP in your initial order?
100 - 250
250 - 1,000
1,000 +
Other
Which products are you interested in carrying?
Ear Protect (Ear buds protection)
iProtect (iPhone protection)
iBlock (iPad protection)
mBlock (MacBook Protection)
SamBlock (Android protection)
Other
Do you sell any other EMF protection products? If so, which ones?
Any questions or things for us to know before reviewing your application?
Submit
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