Ki Flow Ion Therapy Necklaces and Bracelets ~ Tourmaline, Zeolite, Negative Ions, Healing

Ki Flow healing tourmaline ion therapy jewelry

Wholesale Application Form for Retailers

This online wholesale pricing application form is for retail applicants only. Healthcare practitioners who wish to apply for wholesale pricing status are requested to use the printable application form (PDF file) and submit their applications by mail together with the necessary additional documentation described on the form.

A. Company Information

Business Name:
Owner/Manager:
Business Type:
Business Hours:
Years in Business:
Business Federal ID Number:
State Resale Number:
Telephone:
Fax:
Website:
Email:
Physical Address:
City:
State/Province:
Zip/Postal Code:
Country:
Mailing Address:
City:
State/Province:
Zip/Postal Code:
Country:
Shipping Address:
City:
State/Province:
Zip/Postal Code:
Country:

B. Contact Person

Name:
Direct Phone (if different):
Direct Fax (if different):
Direct Email:

C. Tax Status

Is the company exempt from tax?	No Yes
If No, State/Province:
Tax ID Number:
If Yes, Tax Exempt Number:

D. General Questions

What types of products does your store carry?
What is the approximate retail square footage of your shop (if applicable)?
If you send out catalogs, what is the approximate subscription number?
How much inventory of Ki Flow^® products do you plan to stock?
How did your company hear about us?

E. Terms and Conditions

Upon approval, your company will have "retailer status". Retailer status allows your company to purchase products at "wholesale prices". The discount depends on the volume purchased.
Applicants must order products from Magma Health, LLC at least twice each calendar year to maintain retailer status.
Magma Health, LLC reserves the right to cancel your company's retailer status at anytime.
Terms and conditions can change without notice at the sole discretion of Magma Health, LLC.
Retail prices are subject to change at any time, due to exchange rate fluctuations and other factors.
By submitting this application, the applicant hereby declares that the information he/she has submitted is true and correct, and agrees to the terms and conditions listed above.

F. Company Representative

Name:
Title: