Wholesale Account Application
Once this form has been submitted please allow 1-2 business days for your application to be reviewed. Upon approval you will receive an email with your Blooming Light Wholesale Account Number which will be required to place an order.
Business Name
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State Business ID/ Sales TAX ID
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Contact Person
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Phone Number
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Area Code
Phone Number
Email
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example@example.com
Website
Business Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred method of contact
Phone
Email
As a Blooming Light Wholesaler you agree to re-sell the items purchased as packaged in your brick and mortar and/or online shop. You agree not to sell Blooming Light products through a third party seller (ex: Amazon, Ebay, Etsy, etc...). You will not re-label or re-package in any way. Any questions or concerns in regards to product quality will be address directly to Blooming Light Botanical Alchemy, LLC within 30 days of receiving your order. You agree to follow your state and cities tax laws leaving Blooming Light Botanical Alchemy, LLC free of responsibility.
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I Agree to the above terms and conditions
I do NOT agree with the above terms and conditions.
Can we share your business information (Name, Address, Phone Number, website) to be added to our website?
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Yes, please add us to the website
No, please do not add us to the website
By signing below you agree that all the information provided is correct and you agree to the terms and conditions stated above.
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Date
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Month
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Day
Year
Date
Submit
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