Retailer Application | The Grounding Co.

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Retailer & Boutique Application

Business / store name*

Contact name*

Email*

Phone*

Website or Instagram

Business Address

Street address*

City*

State / province*

ZIP / postal code*

Country*

Type of business*

Years in business*

How did you hear about us?

Which products are you interested in carrying?*

Estimated first order size*

Resale certificate number*

Upload resale certificate*

Please upload your resale certificate. Accepted file types: documents and images.

Business tax ID

Enter your EIN or state tax ID if applicable. Sole proprietors may use an SSN when registering with their state.

Preferred ordering method*

Choose how you'd like to place wholesale orders: Order on the website – checkout online; Order by email – we'll send you an invoice.

Anything else we should know?

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