Wholesale Account Application

Wholesale Account Application

Once this form has been submitted please allow 1-2 business days for your application to be reviewed. Upon approval you will receive an email with your Blooming Light Wholesale Account Number which will be required to place an order.
Business Name *
State Business ID/ Sales TAX ID *
Contact Person *
Phone Number *

Area Code Phone Number
Email *
example@example.com
Website

Business Address *

As a Blooming Light Wholesaler you agree to re-sell the items purchased as packaged. You will not re-label or re-package in any way. Any questions or concerns in regards to product quality will be address directly to Blooming Light Botanical Alchemy, LLC within 30 days of receiving your order. You agree to follow your state and cities tax laws leaving Blooming Light Botanical Alchemy, LLC free of responsibility. *

I Agree to the above terms and conditions I do NOT agree with the above terms and conditions.
Would you like your business information (Name, Address, Phone Number, website) to be added to our "Buy Local" page on www.bloominglightvt.com? *

Yes, please add us to the website No, please do not add us to the website
By typing your name below you agree that all the information provided is correct and you agree to the terms and conditions stated above. *
By signing below you agree that all the information provided is correct and you agree to the terms and conditions stated above. *
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