ReSeller Information Sheet
You’ve got a cool shop. We sell beautiful, meaningful products. Let’s become Ōmies and make some magic.

Please provide the following information in order to start the process of becoming a Modern ŌM wholesale customer.
- You must provide proof of your tax exempt status in your State. This includes a completed E-595E "Certificate of Exemption" AND a copy of your State resale certificate. These documents should be emailed to sales@modernom.co
- Once your company is accepted you will be given an account on our website which will allow you to select and purchase products at our wholesale pricing
- Minimum order value for wholesale orders is $300.00
- If you have questions, call Steven at (415) 533-3019 or e-mail sales@modernom.co

Email address *
Company Name *
Your answer
DBA (if used)
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Company billing address: *
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Contact Person/Buyer *
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Email Address *
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Phone number: *
Your answer
State resale license number: *
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How many physical locations do you operate? *
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Location Addresses (list all) *
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Do you sell online? *
What type of store do you operate?
What is your store's web address: *
Your answer
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