Contact information form
Name *
Contact Email Address *
Invoice Email Address *
We invoice through Paypal
Shipping Address *
Please be sure that the address on file is the same as your PayPal invoice - If different, please email Loren for notification.
Contact Phone number *
This is for shipping purposes and in the rare chance we need to call you.
Are you interested in Wholesale/Retail Pricing or Bulk Buying?
Retailers must provide a tax ID number. Please leave below.
What is your business website
Mandatory for Wholesale/Retail
What is your business facebook page?
Leave blank if you don't have one.
Do you have any further questions?
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