Wholesale Accounts

Thank you so much for your interest in a wholesale partnership with Trinité Organiques. If you currently have a storefront from which you sell other products or if you are a healthcare provider, please provide us with the following information and we will contact you.

Registration Form:

First Name:
Last Name:
Company Name:
Email:
Address Line 1:
Address Line 2:
City:
State / Province:
Postal Code:
Country:
Phone #:
Fax #:
   
Tax ID / Resale #:
Website: http://
Store Name:
Store Type:
Online Store Only?:
Description of Your Store:
How Did You Hear About Us?