ESCC Wholesale Account

Please fill out the below form to apply for a Wholesale account.

Please allow a few days for your application to be reviewed once it is submitted.

Customer Information

First Name Required

Last Name Required

Email Required

Address 1 Required Address 2 Required

City

Country Required

State/Province

Zip/Postal Code

Company Name Required

Phone Number Required

Website URL Required

State Resale Number Required

Store Address Required

Do you plan on carrying the product in multiple locations

If Yes, how many Required

Tell us about your company and why you would be a good fit with Eastern Shore Candle Co. Required

How did you hear about us? Required

Please describe your business and where you plan to sell our products:* Required

What is your Instagram Handle Required

What is your Facebook Handle Required

I accept the Terms and Conditions for this shop

Missing Required Fields