Independent Retailer Application
Hello and thank you for your interest in Cocco Pazzo! We look forward to welcoming new Independent Retailers to the Family & Meeting You. To get started, please complete and submit the information below. Once the form has been submitted and approved, one of our Team Specialists will contact you to complete on-boarding and review order details if needed.
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Email *
Contact Info *
Your First Name
*
Your Last Name
Phone Number *
Preferred Contact Method *
Required
Preferred Contact Time
Who Refered You To The Cocco Pazzo Reseller Program?
How Do You Plan To Sell Our Products? *
Delivery Zip Code *
Business Name *
Which of Our Products Are You Most Interested In Selling To Your Customers? *
Business Address
Business EIN/Tax ID
Order Frequency *
How Often Do You Plan On Making Wholesale Orders?
How Do You Want To Purchase Products? *
Required
Where/How Do You Plan To Sell Our Products? *
Required
Wholesale Only. Order Volume You Expect Monthly?
MOQ 10 PCS / $550
Please Briefly Tell Us About Your Business/Yourself. *
Submit
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