First name*

Last name*

Phone number*

Email*

What's the link to your website?*

What's your instagram?*

How many years have you been in business? 

Are you products sold on any of the following websites?*

Amazon

Etsy

Walmart.com

Target.com

Other Third Party Online Marketplace

What are your order minimums? *

Please attach wholesale catalog or other product information here.

Please tell us more about your brand and why we'd be an ideal retailer.*

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