Wholesaler Application – Aspen Kay Naturals

Name*

Email*

Company Name*

Company URL

Position

Phone Number*

Physical Address*

Is your shipping address the same as above?*
Yes, it is the same
No, it is different

Shipping Address:

Federal Tax ID Number

Resale Certificate Number (Optional) *Sales tax will be charged unless a valid resale certificate number is provided*

Years in Business*

Where do you intend to sell our products?* *Please note we do not allow sales on 3rd Party Market Places including Amazon, WalMart, Jet and others.*

How did you hear about us?*

Sales Person

Username*

Password*
Enter Password

Confirm Password*
Confirm Password