(US) Wholesale Client Registration Form We are working through the request forms and will email you the access code for our wholesale website, terms & availability once application is verified & approved. We hope to update our wholesale website availability weekly. We look forward to working with you all. Thank You - Las Selvas Question Title * 1. Your Business Name Question Title * 2. Full Name Question Title * 3. Phone Number Question Title * 4. Email Question Title * 5. Instagram Handle Question Title * 6. Website (*Optional*) Question Title * 7. Sellers Permit Number/Resale Tax ID# Question Title * 8. What State Is Your Buisness In ? Question Title * 9. Buisness Type (Select All That Apply) Brick & Mortar Store Online Store Pop Up Question Title * 10. Any questions or comments ? Done