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Wholesale Application
BUSINESS NAME*
ADDRESS
TYPE OF BUSINESS
type of business
Retailer (e-commerce)
Retailer (brick&mortar)
Distributor
Office
Other
PHONE #
BUSINESS CONTACT EMAIL
WEBSITE URL
HOW MANY LOCATIONS DO YOU HAVE?
How many locations?
0-1
2-5
5-10
10-20
20+
WHAT IS YOUR EXPECTED MONTHLY VOLUME?
expected monthly volume
0-1 cases
1-5 cases
5-10 cases
10-20 cases
20+ cases
HOW MANY EMPLOYEES DO YOU HAVE?
employees
0-1 employees
1-10 employess
10-25
employees
25-50 employees
50+ employees
INSTAGRAM URL
FACEBOOK URL
SUBMIT
