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Wholesale Application Form

First name

Last name

Email address

Used for account login and order notifications

Phone number

🇺🇸

Company

Street

Apt/Suite/Other

City

Zip/Postal code

State/Province

Country

VAT / TAX NUMBER

Seller's Permit / Business License / EIN

Please upload a PDF file or clearly visible picture of your entire Seller’s Permit, EIN, or Business License. PDF file is highly recommended.

*Selfies, driver's license, blurry photos, or logos will not be accepted.*

Step by step guide

Wholesale Application Form

Join the Nicole Lee Family!