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Company Information
Which best describes your business?
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Skincare Practitioner/Esthetician
Medical or Wellness Practitioner
Online and in-person Retail Space
Online Retail Space
In-person Retail Space
Perfumer/Blender
Backbar/Service Use
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Company Name
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Date Founded
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Month
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Day
Year
Link to Website
*
Contact Name
*
Contact Email
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Buyer's Name
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Buyer's Email
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Phone Number
*
Please include links to all of your brand's social media channels Instagram, TikTok, Facebook, Twitter, Pinterest, Telegram, Other
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Company Addresses
Business Address
Address
*
City
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Province/State
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Postal/Zip Code
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Shipping Address
Same as Billing Address
Address
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City
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Province/State
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Postal / Zip Code
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Please provide one of the following:
Business License Number
Practitoner's License Number
Reseller's Permit Number
Practitioner's License
Photo of business permit
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Photo of Driver's License or Passport
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Description of Brand
What are your brand's core values?
*
Please tell us about the founders.
*
Please share something that sets your brand apart.
*
Please tell us your "company mission" in 1 - 3 sentences.
*
How many people are employed by your company?
*
Describe your clientele.
*
How did you discover Living Libations and what aspects of our philosophy resonate with you?
*
What five words best describe your brand / brand personality?
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Products
What Living Libations products are you interested in carrying? (check all that apply)
*
Select All
Cleansers + Facial Care
Sun Care
Hair Care
Body Care
Oral Care
Essential Oils + Carrier Oils
Essential Oil Elixirs + Blends
Deodorant
Natural Makeup
Perfumes + Colognes
Which brands and / or products are your current best sellers?
What percentage of your company's revenue is generated through product sales?
Which Living Libations products would you include in your first wholesale order? (Please list up to 5).
*
Do you personally use Living Libations Products? If so, which products?
*
Forecasted Yearly Order Amount?
*
Please Select
Under $5,000
$5,001 to $25,000
$25,001 to $100,000
Over $100,000
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Shipping and Delivery
Will you be shipping Living Libations products?
*
Yes
No
In How many days can the customer expect the item to be shipped?
What shipping carrier(s) do you use?
What countries do you ship to?
Are there any countries you are unable to ship to?
*
Yes
No
Which countries do you ship to?
Do you partner with any third party delivery systems?
*
Yes
No
Which third party delivery systems do you use?
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Virtual Tour of Your Space
Please include up to three photos of your products that will contain Living Libations botanicals.
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Please include up to three photos of where Living Libations botanicals will be kept and stored.
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Please include up to three photos of where Living Libations products will be displayed.
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function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }
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Please include up to three photos of where Living Libations backstock will be kept and stored.
*
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