BluLeaf Naturals Wholesale Application
This application is for Retail Establishments with valid Re-sale Certificates. We would love to have BluLeaf products in your stores! A minimum of ten products, any combination, is necessary for first time purchasers. Please know that submitting this application does not guarantee that you will become a BluLeaf Retailer; each application is carefully analyzed to see if we are a 'fit' for your business. Thank you.
Business Name: *
Business Address: *
Business Phone Number: *
eMail Address: *
Repeat eMail Address: *
Responsible Party: *
Title: *
What type of retail establishment are you? Choose all that apply: *
If 'other' or 'floating store', please describe: *
Federal EIN number if available:
Valid Resale Certificate Number and State: *
Where did you hear about us? *
What type of products are carried in your business? *
Please tell us why you want to carry our products? *
Thank you for applying. An Agent will contact you, usually within 48 hours. Feel free to text/call us with questions at 859-806-0521, or email Thank you.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy