Wholesale Submission Application Form

If you are a retail store, own a business, or an organization, you are welcome to fill in this form and apply to be able to buy our products at excellent wholesale prices that brings hope,healing and prosperity to the poor. We will review your application and email you pass codes so you can access the wholesale prices to be able to make an order.

First Name:
Last Name:
Business/Organization Name:
Street Address:
Postal/Zip Code:
Contact Phone Number:
Email Address:

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