Wholesale Application Form

Wholesale Request Form

Please complete the below questionnaire in it's entirety. Due to the high volume of inquiries, allow 2-3 business days for reply. We look forward to connecting with you!
Your Name:*

First NameLast Name
Business Name:*
Business Type:*
Business Website:*
Email Address:*
Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Sales Channels:*

Brick and MortareCommerce
What are your best-selling brands sold in-shop/online?*
Do you currently offer additional candle lines in-shop/online? If so, which brands?*
Tell us about your business:*
Where did you find us?*
How soon would you be interested in placing your opening order?*
Comments:
Should be Empty:

Wholesale Request Form