Wholesale Application
We here at Diffusing Mama's are excited that you are interested in selling our products in your store. Please fill out this brief application and e-mail your business documentation (EIN, Sale's Tax, etc.) for review. Upon approval you will receive an e-mail confirmation with your ordering instructions. Please feel free to contact us with any questions or concerns.
Contact Information
Contact Person
Your answer
Contact's Phone Number
Your answer
Contact's e-mail
Your answer
Business Information
Business Name
Your answer
Type of Business
Please provide what type of business you have such as Health Store, Gift Shop, etc.
Your answer
Do you currently sell Essential Oils?
Business Address
Your answer
Country
Your answer
Business Phone Number
Your answer
Sales Representative
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms