Wholesale account Application

To apply for a wholesale account, please fill out the following form.
Store Name*
Year Business Was Established
Business Model*

Internet Store with its own websiteBrick-and-mortarOther
Contact Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Website (must be provided if your store is online only):
E-mail:*
Shipping Address:*

Unit + Street Address

Street Address Line 2

CityProvince/State

Postal Code/Zip CodeCountry
Preferred Payment*

Credit CardE-transferChequeDirect Deposit
Which brands are you interested in? (Select all that apply)*

Made in Canada Guards (Banana, Froot & S'wich)DabbaWalla Lunch Bags & BackpacksTo Go Ware Bamboo CutleryChicoBags (Reusable Shopping & Produce Bags)iLids (Reusable Mason Jar Drink and Storage Lids)(re)zip Reusable Food Storage BagsHydaway Collapsible Bottles & BowlsEcoVessel Drink ContainersUkonserve Lunch Containers & Lunch BagsLife Without WasteLunchbots Lunch ContainersSkoy ClothsGo Green LunchboxesColibri Snack Bags & Bowl CoversHobeika Vinyl Stickers & Plantable CardsJarmazing Mason Jar AccessoriesOther
What trade show(s) do you usually attend?
How did you hear about us?
Your Store Description for Our Store Locator:
Any Additional Information:

0/500
Should be Empty: