Wholesale application form

PLEASE CHECK ALL THAT APPLY: PLEASE CHECK ALL THAT APPLY: BRICK AND MORTAR* BRICK AND MORTAR AND ONLINE ONLINE ONLY BOUTIQUE (MINIMUM 1,500 FOLLOWERS ON FACEBOOK OR INSTAGRAM)

Store Name

Buyer

Address

City

State

Zip

Phone

Email Address

Instagram

# of Years in Business

Shipping Address (if different than above)

City

State

Billing Zip

Contact Name

Contact Phone

Contact Email

Zip

5 + 4 =

Please email your Resale Certificate and 2-3 photos of your store’s interior and exterior (for Brick and Mortar Applications) to [email protected]

Read our Terms.