Wholesale Account Application

Wholesale Application Form
Interested in carrying Sensational Scents in your private practice or online shop? Please fill out the wholesale form.
Business Information
Contact Name *

First Name Last Name
E-mail: *
example@example.com
Business Name *
Note: If you do not have an established business, please type your name in the block
Business Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Website URL:
Phone: *

Area Code Phone Number
Do you operate a retail store? *

No Yes
Do you have an online shop? *

No Yes
Do you have a private practice (i.e. massage therapist, yoga instructor, wellness practitioner, clinical counselor, psychologist, etc.? *

No Yes
Who is your demographic market on selling these products? *

Friends Family Co-Workers Clients Customers Social Media Website Word of Mouth
How did you hear about Sensational Scents? *

Sensational Touch Social Media Friend Website Word of Mouth
Please check off products you are interested in wholesaling

Body Butters Soy Candles
Additional Comments

0/500
Sensational Scents products are not permitted to be sold on Amazon, Ebay, Walmart, or any other online outlet store. Violation of this rule will permanently band you from selling Sensational Scents products.
Should be Empty:

Wholesale Application Form