Wild Flicker Wholesale Application
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Welcome to Wild Flicker and thank you for your interest in joining our family of retail partners!

We are currently accepting applications from retailers across Canada and the USA. 

Please complete the form below and our team will review your application.
Email
 *
Company Name
 *
Website
 *
Social Media Handle
 *
MAIN CONTACT
First & Last Name
 *
Phone number
 *
STORE LOCATION
Street Name & Number
 *
City
 *
Provence / State
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Postal Code / Zip Code
 *
Country
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Phone Number
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Do you have any addition locations
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If yes, please list any other locations
SHIPPING INFORMATION
Is your shipping address different then the address listed above?
 *
If yes, please include the full shipping address
OTHER INFORMATION
Can you commit to our $300 minimum order?
 *
How did you hear about us?
 *
Any other information you think we should know about you or your business!
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