Wholesale Registration Page

Please complete the following form to begin setting up a wholesale account.

First Name *

Last Name *

Company Name *

Country *

Address 1 *

Address Line 2 (optional)

City *

State *

Postcode *

Phone *

Email *

Website URL (optional)

We must have a Resale Certificate/Tax ID on file, for each of our wholesale customers.

Applications will not be approved without this form. For fastest approval please upload a copy below. You may also send it via email to wholesale@fragrantmoon.net

Upload Resale Certificate here

Please tell me a little about your business, where you wish to sell our products, and any other pertinent information that you would like submitted with your application.

About your business *

Password *

Confirm password

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