wholesale form — Woodspell Apothecary

Wholesale Account Form

Terms: Minimum for wholesale is 30 units for first time orders, no minimum after that. Payment required upon receipt.

Name

First Name

Last Name

Business Name

Email

Phone #

Billing Address

Address

City

State/Province

Zip/Postal Code

Shipping Address

Same as Billing

Address

City

State/Province

Zip/Postal Code

Preferred Payment

Choose one

Credit Card

PayPal

Check

Credit Card # (only if this is your preferred payment method)

Expiration Date

CVC

Notes (Optional)