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