Wholesale Application


with Botanical Blends, LLC.

*Terms:
All fields must be filled. A valid email address is required. To establish an account, please complete the form below and the wholesale terms of sale and wholesale price list will be emailed to you. Once your wholesale account is established you will be able to submit a purchase request. A Paypal invoice will be emailed, and once the invoice has been paid your order will be shipped. An initial minimum order of $50 is required. Currently, only Botanical Blends products are available at wholesale pricing. Thank you.

Your First and Last Name: (required)

Company/Organization/School: (required)

Shipping Address:

Street Address: (required)

City: (required)

State & Country: (required)

Zip/Postal Code: (required)

Contact Information:

Phone:

Your Email: (required)

Additional Information:

License or Tax ID Number:

Comments:

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