Vendor Name *

 
Business Entity Type *


 
Address *

 
Contact Name *

 
Phone Number *

 
Address of flagship retail location *

 
Additional Notes: *

 
By Applying to be a NEU MIND, LLC Wholesale Customer *

YOU AGREE TO:
Prepay all invoices promptly.

Not sell on any deal or ecommerce sites not explicitly approved in the agreement (i.e: amazon, ebay, groupon, dealchicken, etc). 

Report any changes of the information being submitted immediately.

You agree to not misrepresent products or brand in any way.
     
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