Midwest Distribution Vendor Application
Please input your product information if you would like us to sell your products on our wholesale Website.
Company Name/Brand Name
Your answer
Website
Your answer
Owner's Name
Your answer
Owner's Email Address.
Your answer
Phone Number
Your answer
Wholesale Price
Your answer
Retail Price
Your answer
If E-Liquids, Bottle Sizes Offered (Example: 10ml, 30ml, 60ml, 120ml..etc)
Your answer
If Hardware, Please Describe Your Product.
Your answer
If E-Liquids, Do all of your bottles come with child resistant caps?
If E-Liquids, Do all your bottles have the required Nicotine warning?
Do you have product liability insurance?
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