Wholesale Application

Store Name *

Website *

Please provide the URL to your store website.

Are You *

Contact Name *

First

Last

Email *

The email provided here will the primary contact email.

Full Store Address *

Please be sure to include street address, city, province/state, postal code/zip code

Phone Number *

Do you have other locations? If so, please list:

Which Category Does Your Store Fall In? *

If Other, please specify

Please provide your Facebook page (if applicable)

Please provide your Instagram page (if applicable)

Please provide your Pinterest page (if applicable)

Please provide your Twitter page (if applicable)

Which products are you interested in carrying? (Please select all that apply) *

How did you hear about our products?