Distributor Request Form

 We are looking for a select group of partners dedicated to providing unprecedented quality, service and value to their customers in the health and beauty industry. If you are interested in becoming a valued Wholesaler/Distributor, we would love to hear from you. Just kindly fill out the information below and one of our representatives will provide a personalized quote based on your specific needs promptly.

 
First Name       
Last Name      
Title      
Company        
Address 
City   
State
Zip/Postal Code 
Country
Industry  
Contact Phone    
Email Address 

Select the Category you are interested in*

Health and Beauty
Household Cleaning
Children's Bath
Natural and Pressed Loofah
Bleached and Cut Loofah


Type of Business Relationship sought*

Distribution
Wholesale
Resale
Customer Sales
Other

Additional Information
Please include product name(s), quantities, frequency of your orders,
so we may provide an accurate quote: