WHOLESALE APPLICATION Fill up the form below to apply to become a stockist. We will get back to you as soon as possible. Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Store Name * Website * http:// Instagram Handle * Describe your Store * What is your Store format? * Brick and Mortar Brick and Mortar and Online Online Only How long has your store been operating? * Which products are you interested in? * Thank you!