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.
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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.
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