Spencer's Candles Wholesale Become a Distributor

For information on how to become a distributor...

...if your area is available and to order a sample box, please complete our dealer application form below. You must have a resale tax permit to receive information.

CONTACT INFORMATION

Business Name
Phone
Owner
Manager
Buyer
Federal ID #
Resale Tax Permit #
Fax #
E-Mail Address

ADDRESS INFORMATION

MARKETING INFORMATION

Location Description
Type of Retail Trade
	If "Other", please specify type:
Hours
Anniversary Date of Business Opening
Do you have a web site?	Yes No
	If "Yes", what is your web site address:
If yes, would you like to have a link from our website to yours?	Yes No
Would you be interested in pre-produced commercials for Spencer's Candlery or camera ready print ads?	Yes No