Skip to content
APPLICATION FORM
Contact Information
*
1.
Contact Information
(Required.)
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
*
2.
Company Information
(Required.)
Organization Name
Years In Business
Number of Locations
Reseller # / Tax ID
*
3.
What is your primary business?
(Required.)
Brick and Mortar Retail Boutique
Department Store
Subscription Box
Spa/Salon
Hotel Retail
Floral/Souvenir Shop
E-Commerce Store
Other (please specify)
*
4.
How will you sell Charmed Aroma products?
(Required.)
In-Store
Online
In-Store and Online
Other (please specify)
*
5.
What other brands do you carry?
(Required.)
6.
What are your social media handles?
Website Link
Facebook
Instagram
Other Social Media