Retail/Wholesale Account Application
Prior to completing our retail/wholesale application, review our terms and conditions for partnership at https://earthbornbeauty.com/terms-conditions/.
Complete our retail/wholesale application below.
Name & Position *
Your answer
Email Address *
Your answer
Company Name *
Your answer
Company Website
Your answer
Phone Number *
Your answer
Physical Address *
Your answer
Federal Tax ID Number *
Your answer
Resale Certificate Number
Your answer
Years in Business
Your answer
Where do you intend to sell our products? *
Your answer
Check the box that best applies: *
Required
How did you hear about us?
Your answer
This document along with the terms and conditions linked above, will become a single integrated agreement. By your digital signature below, you agree to be bound by all of the terms and conditions, including the agreement to arbitrate and class action waiver. Furthermore, you agree to check the terms and conditions frequently for any amendments. If you refuse or are unable to comply, you cannot participate in the retail/wholesale program. (Type your name and date below) *
Your answer
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