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Become a Retailer

Blue Moon Bell Retailer Application

If you'd like to be reviewed to become a retailer partner, please e-mail us at, including the following information:

(1) Your First and Last Name

(2) Your E-mail Address

(3) Your Phone Number

(4) Store Name

(5) Address

(6) City

(7) State/Province

(8) Zip/Postal Code

(9) Website URL (Please include "http://")

(10) Social Media Accounts (Please include links to all your social media accounts)

(11) Type of Retailer (Brick & Mortar; Online Only Retailer; Online & Physical Retailer)

(12) Speciality (Home & Garden Store, Etc.)

(13) How many years has your business been open?

(14) How many locations do you have?

(15) Reseller ID#

(16) Federal Tax ID#

(17) Name similar brands you carry (or will carry)

(18) How did you hear about us?

(19) Comments/Questions

Please take a few minutes to provide this information in your e-mail. You will be notified once you are approved. If you have any questions regarding the status of your application, please contact

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