Wholesale Application — Meadow Witch

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Wholesale Application Form

Please complete the form below to apply for a wholesale account with Meadow Witch. Provide details about your business, your preferred start date, and order frequency. If there's anything else you'd like us to know, feel free to include it in the additional information section. Once submitted, I will review your application and get back to you with the next steps.

Name *

First Name

Last Name

Business Name & Type *

Please provide your business name and a brief description of the type of business you operate.

Email *

Phone

(###)

###

####

Website/Social Media Links

If applicable.

http://

Product(s) Interested In (Check all that apply): *

Grounded - Ceremonial Serum

Jewelweed Spray

Lion's Mane Elixir

Magnesium Tallow

Motherbaby Tallow

Nettle Oxymel

Oral Ease

Passion Potion Elixir

Reishi Elixir Elixir

Sacred Meadow Steam/Soak Blend

Shepard's Purse Tincture

Sweet Release Elixir

White Pine Elixir

Yoni Mist

Wholesale Start Date *

When would you like to begin receiving wholesale orders? Please note that start dates may depend on product availability and inventory levels, so I will confirm if the requested date works for me.

MM

DD

YYYY

Order Frequency

Monthly

Quarterly

As Needed

Additional Information

Thank you!

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First Name

Last Name

Email Address

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