Wholesale Retailer Application

Wholesale Retailer Application

Thank you for your interest in carrying Living Water Organics! We're honored that you're considering our products for your business. We love partnering with retailers who value small-batch, eco-friendly products and meaningful customer relationships. As our wholesale partners continue to shop with us, they'll have opportunities to unlock exclusive discounts and perks that can be applied toward future wholesale purchases as we grow together. Please complete the application below. This helps us learn more about your business and determine whether we're a good fit for one another. If approved, we'll reach out with the next steps, including our Wholesale & Retailer Agreement.
Business Name
Contact Person Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Do You Have a Physical Location?
Business Website
Main Business Social Media Link
Is Your Business Registered?
Type of Business
Years in Business
What Do You Sell?
Are you interested in:
Which product categories are you interested in?

Other
Are you a purpose-driven business? If so, what is the mission behind your business?
Have you ever purchased from us before?
If yes, was it under your current business/business name?
If it was not under your current business/business name, please list the business name used around the time of purchase.
Why do you want to partner with Living Water Organics?
Tell us about your store that you believe we should know!
How did you hear about us?
Application Agreement

I understand that submitting this application does not guarantee approval as a wholesale retailer.

I understand that approved wholesale accounts will be required to sign a Wholesale & Retailer Agreement before purchasing.

I understand that qualifying orders may require a deposit before production begins.

I understand that Living Water Organics products are crafted in small batches and processing times may vary depending on order size.

I certify that the information provided above is accurate to the best of my knowledge.

If you agree with the previous statements, please check the box below.
Should be Empty: