Wholesale Application

Store Name

Contact Name *

Address *

Phone Number *

E-mail

Which one are you?

Brick & Motar

Online Shop

Both

Website

Social Media Accounts

Briefly describe your store & why you think Milk & Body would be a good fit:

Which of our products are you interested in carrying?

Bulk Shower Streamers

Shower Streamer Jars

Bath Truffles

Goat Milk Bar Soaps

Goat Milk Facial Soaps

Goat Milk Body Cream

Body Polish Scrubs

How often do you expect to order:

How much do you plan to spend on every order:

Wholesale Terms: See below the form: *

I have read, understand, and fully agree to the Milk + Bath Wholesale Terms.