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Alora Ambiance Wholesale Request Form

For all wholesale inquiries, we ask that you please complete this online form, making sure all required information is filled in. Once we have reviewed your information along with the attached photographs of your location, we will contact you. If you have any questions about how to complete this form, please contact Annie at alora@aloraambiance.com or 612-378-0470.
* Contact Name:  
* Contact Email:  
* Contact Phone:  
* Business Name:  
* # of Years in Business:  
Business Website:
* Type Of Business:
(Retail boutique, spa, salon, etc.) 		 
* Number Of Retail Locations:  
* Street Address  
* City  
* State  
* Zip Code  
* Please list other retail lines you carry:  
If you carry any other home fragrance
or diffuser lines, please list them:
* How did you hear about Alora Ambiance?  
As part of our wholesale inquiry process,
we also ask that you please include
interior photos of your retail space. 		Upload Images

Finally, if there is any other information
you would like us to know about you, your
customers or your store, please include here:
Thank you very much for your interest in Alora Ambiance.
Once we have reviewed your information, we will contact you as soon as soon as possible
Submit Information
 

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