Wholesale Agreement Please enable JavaScript in your browser to complete this form.Business Name: *Contact Name: *FirstLastAddress: *Address 2:City: *State: *Zip Code: *Contact Phone: *Email: *How did you hear about us? *GoogleSocial MediaWord of MouthTradeshowWholesale MarketplaceTrade PublicationEmail/Phone InvitationOtherIf "other" please explain:What Best Describes Your Business? *Health/WellnessDrug/PharmacySpa/BeautyGrocery (Natural, Specialty, General)Baby/ChildrenSpecialty/BoutiquePet ProductsGeneral MerchandiseOtherIf "other" please explain:Store Type: *Online OnlyBrick & Mortar OnlyBothWebsite:Business Size: *$0-$100K$100K-$1M$1M-$5M$5M-$10M$10M-$25M$25M+Tell us about your company: *Tax ID: *I have a Business Permit/License: *YesNoIn the process of obtainingWe are required by law to obtain a Resale License and all requisite Tax Exemption Forms from our wholesalers. Please supply a Resale License and all requisite Tax Exemption Forms if you would like to make tax-exempt purchases of our productI have a Resale Certificate *YesNoIn the process of obtainingWe are required by law to obtain a Resale License and all requisite Tax Exemption Forms from our wholesalers. Please supply a Resale License and all requisite Tax Exemption Forms if you would like to make tax-exempt purchases of our productI agree that this agreement does not authorize, and authorized wholesaler is expressly prohibited from, selling or reselling products on eBay, Amazon, Walmart, Etsy.com or any other third-party marketplace, without Sacred Roots Alchemy's prior express written consent, which may be conditioned or withheld in its sole and absolute discretion. Any breach of this provision shall result in immediate termination of all of authorized wholesaler's rights hereunder.I have read and agree to the terms & conditions of the Sacred Roots Alchemy Wholesale program as set forth in the Wholesale Agreement.Signature: *Please type your name.Submit Share this:FacebookX
