Wholesale Request/Application Form
Please note: This is the form to apply for bulk purchasing and wholesale pricing if you have a retail
location. If you do not have a brick and mortor location, or desire to stock inventory for resale,
please fill out the Drop Ship Request Form instead or go to the retail site for more information
on the Consultant Program.

*Required information

Send me the following wholesale ordering item(s)*:
On-line access information Mail order form

Email*:

Sales Tax, Business Permit or Fed ID #*:

Full Name*:

Company*:

Address1*:

Address2:

City/State/ZIP*:

Phone Number*:

Website URL:

www.

What type of business do you have?
Retail gift shop, Spa, Gift Basket, Florist,
Home Parties, Craft Shows, Internet Website, etc.*:

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 wholesale 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 wholesale 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.*