Wholesale - Essentiel by Adele

1Business Information

2Account Information

Business & Contact Information
Contact Person*
First Last
Title of Contact Person

Examples: CEO, VP Sales, Manager, Buyer, etc.
Contact Email*
Business Name*
Business Type*
If other, please explain*
Business Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Business Phone*
Business Website
Business License No.
Resale Permit No.
Briefly explain your business*
How will you sell Essentiel by Adele products?*
- Online
- In-Store
- Other
Online Store
If other, please explain*
In-Store Address*
Same as Business

Street Address City State / Province / Region ZIP / Postal Code Country

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