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Business Email *
Password *
Type Of Business * Independent Retail Store Retail Chain Online Store Canadian Distributor International Distributor Corporate/Custom Quote/Sale Other
If 'Other', please specify below: Maximum of 150 characters.
Business Name *
Website *
Link(s) to Blog or other social media sites / add primary contact email address here too please
Market Area/Country *
Do you have a brick and mortar/physical location? * Yes No
If 'Yes', how many?
Please provide any additional details about your store, other brands carried, services, sustainability and environmental policy, etc.
Name
First Name
Last Name
Your Role at the Organisation *
Business Address *
Street Address*
Street Address Line 2
City *
State / Province / Region *
Postal / Zip Code
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Phone Number * Please enter a valid phone number.
What is the best way to contact you? * Phone Email
How did you hear about us? (Check all that apply) Facebook Instagram Email Word of mouth Employee Referral Customer Referral Website Other
If 'Other', please specify:
Please upload Resale Tax Certificate to be exempt from sales tax *
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