PotentSea Sea Vegetables | Natural Supplements From the Sea

WHOLESALE APPLICATION

*First Name:		*Last Name:

Company:

*Address 1:

Address 2:

*City:

*State/Province/Region :		*Zip/Postal Code :

*Country:

*Daytime Phone:		Evening Phone :

Fax:		*Tax ID/SSN:

Website URL:

*Email:

*Password:

*Confirm Password :

DESIRED PRICING LEVEL

Wholesale

Please describe your business, where our products will be sold, and any other pertinent information to your application.

AGREEMENT

To order wholesale- please fill out the wholesale account application form- we will review and approve in 24 hours. You will receive a unique login password once approved. All wholesale sales are final.  SRP's must be honored within 10%.

You also agree to have or obtain a legal re-sellers permit before re-selling any PotentSea brand items.

The Answer is In the Sea!

* I have read, understand, and agree to the above agreement. :

Copyright 2007-2016 Helios Healthcare Consultants
*These statements have not been evaluated by the FDA. This products is not intended to treat, cure or diagnose any illness
** Disclaimer - Individual results may vary.

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