Retailer Application Form
Please fill out this short questionnaire in order to apply for a wholesale retailer account.
Email address *
Contact Information
First Name *
Last Name *
Company or Store Name *
Phone Number *
Street Address *
City *
State or Province
Zip or Postal Code
Country *
Website
Resale ID or Business Number *
How many years have you been in business *
Do you have a physical store open to the public? *
Do you sell your products on an online platform? Which one? *
What's your category of business *
How did you find out about us?
What email address would you like to use to login?
Please add any comments here.
Thank you!
Please allow a few days for your application to be reviewed. If you do not hear from us within a week, please contact us at info@lifewithoutplasticwholesale.com.
A copy of your responses will be emailed to the address you provided.
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