Wholesale Application Form

Wholesale Request Form

Please complete the below questionnaire in it's entirety. Due to the high volume of inquiries, allow 2-3 business days for reply. We look forward to connecting with you!
Your Name: *

First Name Last Name
Business Name: *
Business Type: *
Business Website: *
Email Address: *
Business Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Sales Channels: *

Brick and Mortar eCommerce
What are your best-selling brands sold in-shop/online? *
Do you currently offer additional candle lines in-shop/online? If so, which brands? *
Tell us about your business: *
Where did you find us? *
How soon would you be interested in placing your opening order? *
Comments:
Should be Empty:

Wholesale Request Form