WHOLESALE ACCOUNT FORM

• To place an order and receive wholesale prices, please be aware that there is a minimum 50 unit order to qualify.

• Free Shipping: All orders of $1000 or more qualify for FREE shipping. Please use PROMO CODE: WS1000FreeShip at checkout.

• Bonus Gift: A FREE case of Lip Balm (12 units in a case, $132 value FREE) will be added to all orders totaling 100 units or more. Upon checkout, be sure to select the appropriate box, if your order qualifies for the bonus gift!

• Please submit your wholesale account application by filling in the form below. Once you have submitted and approved, you will receive a password for placing your wholesale order directly online.

Store Name

Buyer's Name

First Name

Last Name

Reseller Permit No.

Email Address

Address

Street Address / City / State / Postal Code / Country

Store Phone

(###)

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Other Phone

(###)

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Instagram

Facebook

Twitter

Website

http://

How Did You Hear About Us?

Other

Notes/Questions