Wholesale Customer Form

Wholesale Customer Form

Please fill out and submit this form to receive the User Name and Password for logging into our wholesale web site.

Click for Privacy Statement

To sign up for wholesale information you can choose to:

• click the submit button to send us the information via e-mail,
• phone us with your information at 360-293-3440
• send us the information via e-mail at info@peacefulofferings.com
• print out the form and FAX it to 360-293-3422
• mail it to Peaceful Offerings, LLC - 1004 Commercial Ave #1099 - Anacortes, WA 98221.
  
  

For wholesale sales, we only sell business-to-business. Please include your resale/UBI number. Otherwise, we will not be able to send you information about our products.

Fields marked with a * are required:

Company Contact Information and Billing Address:
Contact Person*
Contact Phone Number *
Contact Person Email Address *
Company Name*
Address*
Apt or Suite
City*
State*	Choose StateOutside USAAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
Outside Us
Zip or Postal Code *
Country*	Choose CountryUSAAustraliaAustriaBelgiumCanadaDenmarkFinlandFranceGermanyIrelandItalyJapanLiechtensteinLuxembourgNetherlandsNew ZealandNorwaySpainSwedenSwitzerlandUnited Kingdom
Company Phone Number *
Company Fax Number
Company Web Site
Shipping Address (If Different):
Address
City
State	Choose StateOutside USAAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
Outside US
Zip or Postal Code
Country	Choose CountryUSAAustraliaAustriaBelgiumCanadaDenmarkFinlandFranceGermanyIrelandItalyJapanLiechtensteinLuxembourgNetherlandsNew ZealandNorwaySpainSwedenSwitzerlandUnited Kingdom
UBI or Resale Number *
How Did You Hear About Us *	Choose OneSearched Using GoogleSearched Using YahooOther Search EngineFrom a friend/CollegueFrom a SpaOther
Contact Preferences:
Send me a printed brochure with product information, wholesale policies, and mini-samples. (only within USA)
Add me to your e-mail list for occasional notifications of new products and policies.