Drop Ship Request Form
Please note: This is the form to apply for the drop ship program.
If you have a brink and mortor location and/or would be interested
in purchasing in bulk to receive wholesale pricing and desire to stock
inventory for resale, please fill out the Wholesale Request Form instead.

If you would be interested in joining our consultant program for increased
commissions, bonuses, recruiting rewards, contests, and training and ongoing
support, please visit the retail site for more information on the Consultant Program
and to sign up.

*Required information
*Website URL:**	www.
*Years in business:**
What type of website do you have? Gifts, Bath and Body, Health, Gift Basket, etc.*:
*Email:**
*Full Name:**
*Company:**
*Address1:**
Address2:
*City/State/ZIP:**
*Phone Number:**
Sales Tax, Business Permit or Fed ID #:
Please tell us where you heard about us. If Internet search, please indicate which one (google, msn, yahoo, etc.):
(Optional) If there is any additional information you would like us to know about your business or if you have questions, please indicate them here:
Please read and sign the agreement below. Should I be interested in the dropship affiliate program and am accepted into it, I understand that I am not an employee of Handmade Natural Beauty for tax purposes. I also understand that I am provided no guarantee of income and that it shall be derived through my own efforts to market and sell the products. Further, I agree to represent Handmade Natural Beauty in a honest, professional manner. Any misrepresentation of the company or products will be subject to immediate termination of contract. By electronically signing this form, I am in agreement to abide by the contract and any future changes to the Handmade Natural Beauty dropship affiliate program, contract, policies and/or procedures and I understand it shall be binding once approved by Handmade Natural Beauty: Please enter full name and date.*