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Become a Wholesale Partner
Company Information
Company Name
*
Contact Name
*
Email
*
Phone
*
Website
(optional)
Business Type
*
Select type
Retail Store
Spa / Salon
Online Retailer
Medical Practice
Pharmacy
Clinic
Other
Years in Business
*
Tax ID / EIN
*
Resale Certificate #
(optional)
Estimated Monthly Order Volume
*
Select volume
Under $500
$500 – $1,000
$1,000 – $5,000
$5,000+
Licensing & Documents
State Sales Tax Permit #
(optional)
States You Operate In
(optional)
Business License
(optional)
Upload PDF, JPG, or PNG (max 10MB)
Resale Certificate
(optional)
Upload PDF, JPG, or PNG (max 10MB)
How Do You Plan to Sell?
*
Select method
Retail Store
Online Store
Spa/Clinic Services
Pharmacy Counter
Multiple Channels
Interested in dropship services?
Trade References
Reference 1
Company Name
Phone
Email
Reference 2
Company Name
Phone
Email
Business Locations
Location 1
Location Name
Street Address
*
City
*
State
*
ZIP
*
Location Contact
Location Phone
Location Email
+ Add Another Location
How did you hear about us?
Message / Notes
(optional)
Compliance
I certify that my business only sells to customers 18 years of age or older
*
I agree to Reviv's wholesale terms and conditions
*
Submit Application
Applications are reviewed within 2–3 business days.