Alypsis Inc. :: Purveyors of Aromatherapy and Flower Essence Products


Application for Wholesale or Professional Account

If you are a retailer, healthcare professional or manufacturer please complete the form below. We shall assess your needs and assign you a wholesale purchasing level that should meet your requirements. Please note that there are no further discounts on bulk essential oils unless purchasing in large quantities. These discounts will be worked out on an individual basis.

Please remember to click on "Submit Form" after completing the application.
Business Name:
Owner(s):
Contact Person:
If Professional, state your credentials:
Address:
City:
Province/State
Postal Code
Country:
Phone
Fax:
E-Mail:
Web Site:
Vendor's Permit #
Nature of Business:
How Long in Business:
List two references with Tel/Fax #'s and contact person:
1)
2)