Wholesale Program Application Form
Thank you for your interest in carrying our products in your business! Please fill out this application form to apply for our wholesale program. We will review your application form and get back with you soon!
Name of Business
*
Legal Name
DBA or AKA
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a properly zoned Business Address you will sell our products in?
*
Yes
No
Other (Please specify in Notes)
Primary Contact
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
In potential Wholesalers we look for passion, integrity and a genuine love for people selling our products in your business. Why are you passionate about our products and how can you lovingly serve people in your business? Please explain in a few sentences below
*
What type of Business are you?
*
Retail Store
Gift Shop
Restaurant
Small Town Business
Family Farm
Other (Please specify in Notes)
Are you interested in a Custom Private Label?
*
Yes
No
Number of Employees (so we can possibly ship samples)
How did you hear about us?
*
Please Select
Referral
Online
Facebook
Instagram
Other (Please specify in Notes)
Notes
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: