Wholesale Application Form Please complete and submit the below form to apply for access to our Wholesale Members Only area. Applicant Name * First Name Last Name Business Name * Business Type * Physical Shop / Store e-Commerce Doorstep / Mobile Refill Service Pop Up Shop / Stall Other If "Other": Registered or Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Website or Social Media URL http:// How did you hear about us? Facebook Instagram Word of mouth I saw your products in another store Search Engine Message Thank you for submitting your application to Taylor Made Refills Wholesale. Once approved, we will get back to you as soon as possible with your next steps.
