Wholesale – Genessa

Wholesale

Please fill out our form below to apply to become a Wholesale Partner.

First Name *

Last Name*

Business Name *

Trading Name

ABN *

Address *

City *

Postal Code *

State *

Country *

Please note if your application provides a PO box as a business address,
you will be automatically declined.

Email *

Website *

Phone Number *

Account Type

Please note wholesale customers have an initial minimum spend of $800, and must order in pack sizes.
TradeWholesale

Social Media Handles

Instagram Company Page *

Facebook Company Page *

About Your Business

Please Provide A Brief Description of Your Business *

Which Products Are You Interested In *

What Sales Channels do you use? *

How Did You Hear About Us? *
GoogleInstagramFacebookTrade ShowReferralOther
If Other, Please Specify

I Have Read and Agree to Terms and Conditions *