Wholesale Application

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Wholesale Application

Wholesale Application form

Thanks for your choosing Stim!

Please take a moment to complete the form below to apply your Stim business account, we will review and contact you ASAP.

Name *

First

Last

Phone *

Email *

Tell us more about your business

Business Name *

Phone *

Email *

Website / URL

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Entity *

Corporation
LLC
Partnership
Sole Proprietor

Type of business *

Retail
Wholesale
Both

Years in business *

Selling channels *

Physical Store
Online
Both

Selling Modes *

Shipping
Drop shipping
Store pickup

Top and best selling brands *

Selling Stimvape *

Yes, please specify your last supplier
No, how did you hear about STIM

Details *

Message

Subscribe to our newsletter

Email Address *

Please enter a valid email address.

Stim Vape Disclaimer

The sale of tobacco products to minors is prohibited by law. This product contains nicotine. Nicotine is an addictive chemical. Vaping products release chemicals that may harm your health.

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Contact

Ontario, Toronto, Canada

info@stimvape.com