Please fill out the form below:
(*Required fields)

If you are interested in selling ThinScents products, please fill out the wholesale form below. You must provide us with a valid tax ID number, resale certificate, and all wholesale accounts are subject to approval. You will be notified via e-mail once your account is activated. After you have been approved, we will provide you with a password to log in and place orders online. You may also call (618)-309-4561 to place an order or for more information about setting up a wholesale account. If you are tax exempt, please mail or fax a copy of your exemption certificate to 618-524-5410 after submitting this form.

*Company Name:
*First name:
*Last Name:
*E-mail Address:
*Phone Number:
*Address:
*City:
*State:
*Zip:
Fax Number:
Comments/Questions:
Type of Store Location:
(mall, free-standing store, strip mall, catalog company, etc.)
Website Address:
Please list names of persons authorized to purchase for your company:
Type of business:
(corporation, partnership, proprietorship, Other)
Number of Years in Business:
Sales Tax Exemption Number:
State:
Copy of Resale
Certificate Enclosed:
Preferred username for wholesale login:
(no spaces or special characters)
Preferred password for wholesale login:
(no spaces or special characters)
Generate Password
for me:		 Yes No
 
 
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