1. Business Information

Business Name *

Contact Name & Title *

Business Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Website

Social Media Handles

2. Type of Business

Please select one or more options *

Brick & Mortar Retail Store(s)
Online Store (Owned & Operated)
Other

How long have you been in business?

3. Resale Information

Resale Certificate Number *

State of Issuance *

Please attach a copy of your valid resale certificate. *

Select your certificate

Supported formats: JPG, JPEG, PNG, GIF, SVG, PDF, DOC, DOCX.

temp-for-100533-file2-1_

4. Where Do You Plan to Sell?

Please select one or more options *

My own store(s)
My own company website

I acknowledge that reselling Rho Nutrition products on Amazon, eBay, Walmart Marketplace, or any other third-party marketplace is strictly prohibited without written approval. *

5. Estimated Monthly Order Volume

Orders per month (approximate) *

6. Agreement & Signature

By signing below, you confirm that all information is accurate and that you have read and agree to Rho Nutrition’s Wholesale Policies, including the No Online Marketplace Resale Addendum.

Name *

Title *

Signature *

Date *

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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