卸売り申請 This form requires Javascript to be enabled. Thank you for your interest in becoming a wholesale partner! We will review your application and get back to you within 2 – 3 business days. Thank you for your interest in becoming a wholesale partner! We will review your application and get back to you within 2 – 3 business days. Store Name Contact Name Email Address Phone Number Website (if any) Business Name (if different from store name) Billing Address Shipping Address (if different from billing address) Business Type (check all that apply) Supermarket Brick & Mortar Store Online Retailer Distributor Marketplace Seller Other Enter business type for option Other Resale Certificate Number (CA ONLY): Please upload image resale certificate (Alphanumeric filenames with 5MB Limit) Years in Business Tell Us About Your Business: product focus, customer base, store location… How Did You Hear About Us? Leave this field blank Please verify that you are not a robot empty-text