Wholesale Application - Organic Full Spectrum CBD Oil

Minimum Purchase Requirements:*
Eligibility for Wholesale requires purchase of a minimum of four cases per year. Each case contains 12 bottles of 1000 MG Full Spectrum CBD Oil. Is this a requirement your company anticipates to meet?
- Yes
- No
Company Name* and DBA (if applicable):*
Name of Owner/Partner/Officer:*
Phone of Owner/Partner/Office:*
Business Type:*
Date Established:*
Date Format: MM slash DD slash YYYY
Billing Country:*
Billing Address Line 1:*
Billing Address Line 2:
Billing City:*
Billing State:*
Billing Zip/Postal Code:*
Primary Contact:*
Prefix First Last
Primary Contact Title:*
Primary Contact Email:*
Primary Contact Phone:*
Primary Contact Alt Phone:
Primary Contact Fax:
Preferred Method of Contact:*
Please provide the best time to reach you by phone. This should be a time when you have a minimum of 30 minutes of uninterrupted time to discuss your wholesale application.
From:*

: HH

MM
To:*

: HH

MM
Federal Tax ID (Optional):
Describe your business:*
Tell us what people, products and/or services make you unique in your industry.
Do you sell products to the general public?:*
(hold down CTRL key and click to select multiple options)
Do you sell products on eCommerce sites like Amazon.com, eBay, Jet, etc.?:*
- Yes
- No
If Yes, list the name(s) of each store as listed on each site:
List each physical address for all locations where you intend to sell C4 Healthlabs products:*
List each website link where you intend to sell C4 Healthlabs products:*
If none, type N/A in the box.
How did you hear about C4 Healthlabs?:*
Describe Other Products You Sell:*
If none, type N/A in the box.
Describe Services That You Offer:*
If none, type N/A in the box.
Select the marketing methods you use to promote products:*
(hold down CTRL key and click to select multiple options)
If other, please describe:
Please describe the marketing method you use to promote your products or services.
What support tools would enhance your efforts in promoting C4 Healthlabs?:*
If none, type N/A in the box.
Please attach a copy of your Business License AND Sales Tax Permit/Resale Certificate (Optional):
Drop files here or