Coastal Scents Reseller Program Application
Apply for exclusive Coastal Scents reseller status
First Name *
Your answer
Last Name *
Your answer
Business Name
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
EIN or Tax ID #
Your answer
Is your organization tax exempt
Estimated Annual Sales of Coastal Scents Products (USD)
Your answer
Where do you plan to sell our products *
Required
How many employees work for your business? *
Other Comments
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