Exotic Pop Notable Retailers Application
If you have have placed a order though Exotic Pop Distribution you are eligible for having your store listed as a notable retailer on our official website "exoticpop.com"

Please fill out the form below to have your retail store location added to our site. 

*must order a minimum of 5 cases per month to keep wholesale account open and your store listed 
Email *
Your full name as stated on your Exotic Pop Distribution account *
What is your business / retail store name? *
What type of store/retailer is it? *
Required
What is your store's hours? *
Please provide the FULL ADDRESS of your business / retail store location *
When was your last order placed with us? *
MM
/
DD
/
YYYY
Do you agree to have your store's address listed on our website? *
Required
Submit
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