Wholesale Application

If you are a retail store or website interested in buying products from Whole Vape Inc., please complete the Wholesale Inquiry form below.
Note: You must fill up the info that has *

* Business Presence: Store Front   ☐ Online Store   ☐

* Company Name: __________________                      

  Website or Fackbook URL: ____________________________________    

* First Name: __________________   Last Name: __________________

* Email Address: __________________  

* Phone Number: __________________  

* Street Address: ____________________________________  

* City: __________________

* State: __________________

* Zipcode: __________________

  Type of Delivery: Business   ☐   Residence   ☐

* Federal Tax ID (EIN): __________________

* State Business License: Please attach a JPG/PDF file along with this document

* Seller’s Permit: Please attach a JPG/PDF file along with this document            

  How did you hear about us?

  Advertisement   ☐   Trade Show   ☐   Fackbook   ☐   Reddit   ☐  

  Instagram   ☐   Web Search   ☐   Employee Referral   ☐   Other

  If Other, please specify: ____________________________________