Store Name

FEIN

State Resale #

What type of business are you? (i.e. brick and mortar, online-only, salon, lifestyle brand, subscription box service, etc.)

Brag about your business! What makes your store unique? What do you sell? Who are your customers?

Do you carry any other candle lines?

To check your eligibility, we'll need to know where you plan to sell Ella B. Candles. What is your store's street address?

Store City, State and Zip Code

Store Phone Number

Website (if you don't have one, write 'N/A')

Do you sell online?

YesNot yet, but soonNo, and I don't plan to

If you become an Ella B. Candles retail partner, would you sell our candles on your website?

YesNoN/A / don't sell online

Instagram @ Handle (if you don't have one, write 'N/A')

We want to chat! Who should we contact? (first name, last name)

What is their role? (i.e. boutique owner, buyer, etc.)

Contact Phone Number

Contact Email

Preferred method of contact?

Call me!Email me!

How did you hear about us?

InstagramBoutique HubSaw at another storeMarketGoogle searchCustomer requestReferred by a friend or fellow retailerReceived as a giftOther

What product line(s) are you interested in? (check all that apply)

Carrying Local Neighborhood Candles in my StoreDesigning a Private Label Product for my Store or BrandThe Signature Collection

Any additional questions or comments?

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