Let's Gather Some Info...

Holy smokes, you’re less than 5 minutes from some pretty big discounts! Please fill out this entire form to the best of your ability, all fields are required. If you have any questions, please visit our Contact Us page.

Business Information

Business Name / DBA (if applicable) *

Tax ID / EIN / SSN *

Primary Business Address *

Business Country *

Business City *

Business State *

Business Zip *

Web Address (IG/FB acceptable) *

Are You Tax Exempt? *

true
false

Interests (select all that apply)

Wholesale
Private Label (our product, your logo)
White Label (our product, no logo)
Custom/Other

Billing Contact

Billing First Name *

Billing Last Name *

Billing Position / Title *

Billing Email *

Billing Phone *

Shipping Information

Email – Shipping Manager *

Email – Tracking / Notifications *

Shipping Phone *

Shipping Address 1 *

Shipping Address 2

Shipping City *

Shipping Country *

Shipping State *

Shipping Zip *

Receiving Hours – Open *

Receiving Hours – Close *

Address Type *

Residential
Commercial
Dock Available?
Liftgate Needed?

Delivery Instructions

Account Setup

The Email Address entered below will be used to login to the Well Made wholesale portal.

Buyer Info / Login

Account Holder First Name *

Account Holder Last Name *

Email (used for login) *

I am an authorized representative of the above-mentioned entity and by submitting this form, agree to the Well Made LLC Wholesale Terms & Conditions.

Customer Tag

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!

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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