Wholesale Account
Sign up to be approved for a wholesale account
Name *
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Business Name *
Your answer
Email *
Your answer
Phone number
Your answer
Tax ID Number *
Your answer
Business License Number *
Your answer
Company Website
Your answer
Address *
Your answer
How and when is it best to contact you:
Your answer
Type of business (ie: Health Food Store, Tea House, Spa, etc):
Your answer
Type of sales (ie: Retail, Wholesale, Distributor, etc):
Your answer
How many years in business?: *
Your answer
How did you hear about us?:
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Product Interest (check all that apply):
Comments
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