Wholesale Application
This form must be filled out completely and returned to us before a Wholesale Password can be issued.
Please provide your Customer ID Number if you are an existing customer.
Business Name:
DBA Name:
Owner Name:
Buyer Name:
Address:
Street:
City:
State or Province:
Country:
Zip/Postal Code:
Telephone:
Fax:
Email:
Customer ID Number:
(if applicable)
www.NorthernLightsCandles.com/Wholesale
3474 Andover Road Wellsville, NY 14895 USA
Tel: 585-593-1200 Fax:585-593-6481