Retailer Interest Form

Hey there!

We're thrilled that you're interested in becoming a retailer of Mindset Wellness + TORCH'D products. To kickstart the process, we kindly request you to fill out the Retailer Interest Form provided below. This form will give us a better understanding of your business and how we can collaborate effectively.

Once you've completed the form, our team will review your submission and get back to you as soon as possible. We value each partnership and strive to create win-win relationships.

Should you have any questions or require further information, please don't hesitate to reach out to us at hello@mindsetwellness.com

We look forward to the opportunity of working together and bringing Mindset Wellness products to your customers.

Best regards, Mindset Wellness Team

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Email *
What's the legal name of your business? *
Do you have a DBA? If so what is it? If none simply put N/A. *
Name of main company contact. *
Email of main contact. *
Company phone number. *
Company mailing address. This is the address products will be shipped to. *
What is your company website? *
Please provide your company Instagram handle. *
Where do you sell products? *
What industry best describes your company? *
What Mindset products are you interested in retailing? Check all that apply.
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