Application for a Wholesale Account
Between You & The Moon | The Brooklyn Herborium grants wholesale accounts to retail shops, online resellers, spas, and holistic therapists in a private practice. Please fill out this form to apply.
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Name *
Name of Business *
Business Address *
Domestic or International
Regions you sell to: *
Please be specific as we need to know which regions globally you ship to.
Business Website *
Phone Number *
Email *
Are you a *
Please describe your shop or the work that you do.
How did you hear about us and why do you want to work with us?
What kind of experience do you have in herbalism or holistic skin care?
Business license, reseller's license, or therapist license # *
Anything else that you would like us to know about your business?
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