Wholesale – Revive CBD

To Register for a Wholesale account please make sure you answer all of the questions below. You must have an active, verifiable retail store in order to apply.

First and Last Name *

Email Address *

Phone

How'd You Hear About Us? *

Walk In
Google
Social Media
Other

To Register for a Wholesale account please make sure you answer all of the questions below. You must have an active, verifiable retail store in order to apply.

Store Name *

Address *

Website URL *

Type of Wholesale Account *

RETAILER (STOREFRONT)
RETAILER (ONLINE)
RETAILER (BOTH ONLINE & STOREFRONT)

EIN # *

E-MAIL TO contact@revivecbdnow.com

HAVE YOU EMAILED YOUR SALES TAX PERMIT TO DeepBreathDistro@gmail.com *

Yes
I, Filler of Forms, PINKY PROMISE to do it as soon as I finish this part of the application.

Wholesale Application

Contact Us

Sign Up for Email Updates