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**WE OFFER WHOLESALE WITHIN THE UNITED STATES ONLY**

Please fill out the form below and when approved you will be notified by email

In order to be approved you must have a brick and mortar store with a valid tax id number.

Primary Contact Details

Business Details

Multi-line address

*TAX ID REQUIRED for retailers located in the U.S.A. (exceptions: Delaware, Montana, New Hampshire & Oregon). You will need to provide a copy of your certificate before final approval. If you are exempt, please enter that information below. 

eSignature Confirmation & Acknowledgement

By checking the boxes below, I affirm that I am authorized to purchase goods and/or services on behalf of the business listed above. I affirm that the information listed above is true and accurate. I hereby consent to electronic communications from Tall Pine Candles Inc.

Please mark your response below.
I do affirm
I do not affirm
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