Wholesale Registration

Wholesale Account Request

Legal Company Name *

Are you a: *

• Sole Proprietor
• Co-Op
• LLC/Inc.
• Non-profit

Registered State/Province *

Federal Employer ID Number (FEIN) *

Number of year in business? *

Number of retail locations? *

• 1
• 2-5
• 6-10
• >11
• N/A

Annual Revenue *

• Under $100K
• $100K to $500K
• $500K to $1M
• >$1M

Where do you sell? *

• Online only
• Brick & Mortar only
• Combination online/brick & mortar

Business Internet Address (URL) *

Do you resell on marketplaces such as Amazon, eBay, Walmart, etc.? *

• Yes
• No

Primary Contact *

First

Last

Primary Contact Email *

Comment

Submit

Once your registration has been approved, you’ll receive a coupon code to use with your first order. A first time minimum order is required. After your first order has been placed, you account will be amended to have the wholesale discount automatically applied.