Request edit access
Natural Life Account Reactivation
*Minimum reorder amount for reactivating accounts and reorders are $150 minimum

*Brick and Mortar locations are required. We do not offer zip code exclusivity but do check proximity based on the above criteria for every new application. All locations are subject to Natural Life's approval process. In-home retailers, kiosk locations, Facebook e-tailers, 3rd party sellers, and consignment locations are not permitted.

*If approved, you have 30 days to place your first order before your account is set to inactive

Our processing time for reactivations is 7-10 business days. Our team will be in touch as soon as your application has been reviewed. If you have any questions, please email nlaccountapplication@naturallife.com

Company Name *
Your answer
Contact Name & Title *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Bill-To Address *
Your answer
Ship-To Address *
Your answer
Is the ship-to address your storefront? *
If the answer is no, please list your storefront address in the next question.
Storefront Address
Your answer
Store Type
Your answer
Resale Tax ID *
Your answer
Website/Facebook Link *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service