Ke Kō Wholesale Account Application Form

Wholesale Application Form

Aloha! Below is your application to open an account to sell our amazing Ke Kō Botanical Retail. This application will cover all the retail we offer and will be approved once submitted by one of our Ohana staff members. If you have any questions or need expedited approval please give us a call at 858-371-2444. Mahalo Nui~
Legal Business Name*
• Full Name*

First NameLast Name
Title*
Best Contact Phone Number:*

Area CodePhone Number
Shipping Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail:*
• Website:*
Cosmo/Esthetician Number *
Business License if not Board Certified.
1. I hold a valid seller’s permit number: Enter Sellers permit number for verification*
Please make sure you are submitted a SELLER's PERMIT number issued by your States Dept of Tax and Fee Administration. NOT your EIN number (employee identification number). Thank you so much!
2. I am engaged in the business of selling the following type of tangible personal property: *
3. This certificate is for the purchase from Ke Kō Sugaring Professionals, LLC. of the item(s) I have listed in paragraph 5 below.*

YESNO
4. I will resell the item(s) listed in paragraph 5, which I am purchasing under this resale certificate in the form oftangible personal property in the regular course of my business operations, and I will do so prior to making anyuse of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course ofmy business. I understand that if I use the item(s) purchased under this certificate in any manner other than asjust described, I will owe use tax based on each item’s purchase price or as otherwise provided by law.*

YESNO
5. Description of property to be purchased for resale: *
6. I have read and understand the following:For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to anyuse (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resalecertificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificatefor personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have beendue, plus a penalty of 10 percent of the tax or $500, whichever is more.*

I Confirm The Above
Business Representative Information
• Name you'd like to see on the locator if different then above
• Instagram/Facebook Handle
• Short business description or bio (optional)
• Business Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
• Business Phone Number*

Area CodePhone Number
• Upload Photo for listing (optional)

Browse Files
Logos, headshots or an image of your spa are most favored/ Cancelof
• Are you Ke Kō Body Sugaring Certified?

YesNo
• Are you Reef to Leaf Project Certified?

YesNo
• Comments or reviews here:

0/500
By agreeing, you authorize Ke Kō Botanicals to add you to our online website directory. If you ever need to make changes you can just resubmit the locator form at anytime. We use the items bulleted for our online directory only.

Yes please add me to the directoryNo please don't add me to the directory
By submitting this form, you are agreeing to the terms above and requesting a wholesale account with Ke Kō Sugaring Professionals, LLC. Wholesale accounts are for retail products sold to customers only. Thank you for choosing Ke Kō Organics!
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Wholesale Application Form

Business Representative Information