Dr. Brite Wholesale Application:
Interested in selling and sharing Dr. Brite's essential cleaning and sanitization products? Store owners, boutiques, hotels, makeup artists & brands, pharmacies and wellness centers can place wholesale orders by contacting the Dr. Brite sales team:
Store Name
*
Website
Number of Locations
Store Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Buyer Name
First Name
Last Name
A/P Contact Name
*
First Name
Last Name
A/P Contact Email
*
example@example.com
A/P Contact Phone Number
*
Please enter a valid phone number.
Reseller/Tax ID
Upload Reseller's License
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of
Years in Buseinss
*
Business Type
Brick and Mortar
Online
Popup/Kiosk
Wellness Center
How did you hear about us?
*
Retail Store
TV
Trade Show
Search Engine
Website
Social Media
Forbes, Business Insider, or Entrepreneur
Other
Additional Comments
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