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.
Name *
Your answer
Name of Business *
Your answer
Business Address *
Domestic or International
Your answer
Phone Number *
Your answer
Email *
Your answer
Are you a *
Please describe your shop or the work that you do.
Your answer
How did you hear about us and why do you want to work with us?
Your answer
What kind of experience do you have in herbalism or holistic skin care?
Your answer
Business license, reseller's license, or therapist license # *
Your answer
Anything else that you would like us to know about your business?
Your answer
Submit
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