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Wholesale Application
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* Indicates required question
Email
*
Your email
Business Name
*
Your answer
Business Location
*
USA
Other (please list)
Business Address
*
Your answer
Business City
*
Your answer
Business Zip
*
Your answer
Contact Person Name (first)
*
Your answer
Contact Person Name (last)
*
Your answer
Contact Person Email
*
Your answer
Contact Person Phone Number
*
Your answer
Please describe your business (business type, retailer, e-commerce only etc.)
*
Your answer
How did you hear about us?
*
Qi Alchemy Website
Social Network (FB, Pinterest, IG, TikTok etc.)
LinkedIn
Family/Friend
Other
Please use the below link to schedule a 15-minute discovery call with our account manager!
https://calendly.com/aaron-6009/30min
A copy of your responses will be emailed to the address you provided.
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