If you are interested in opening a wholesale account, please fill out and submit the form below. Upon approval, we will email you a username and password for login.

• $200 Minimum orders
• Must conform with MAP pricing guidlines
• Sorry, no Amazon FBA accounts

Business Name:

Address:

City:

State:

Zip Code:

Phone Number:

Contact Person:

Contact Phone Number:

Contact Email:

Federal Tax ID or SSN:

Years in Business:

Annual Sales:

Less than $250,000
$250,001 to $1,000,000
$1,000,000 or More

How will you sell product? (check all that apply):

Physical Store
Own Website
Third Party Website (Amazon non-FBA, E Bay, ...)

Inventory :

Will Take Possession of Product
Drop Ship

Number of Physical Locations (If Applicable):

Your ecommerce Website Domain(s) (If Applicable):

Amazon FBA:

I understand that I am not allowed to inventory product in the Amazon warehouses

Other Information:

Estimated Number of Annual Orders: