Puracy Wholesale

First name

Last name

Email address

Company website*

Where will you sell Puracy products (retail store, online, etc)?*

If retail, how many locations?*

If online, provide links to all channels (N/A if brick & mortar)*

How long have you been in business?*

Which products are you interested in carrying?*

Why are you interested in carrying Puracy products?*

Are you US-based? (We currently do not ship internationally, but a freight forwarder can be used).

Is the ultimate destination outside of the US? Will you require a freight forwarder?

Do you have a lift gate at your delivery location? Would a pallet jack be required?

Do you require a delivery appointment? If not, please add receiving hours. Note: Appointments will only be given if shipped by freight.

We do not allow any wholesale customer to sell on Amazon, eBay, or any other third party platform. By typing your FULL NAME below, you acknowledge and agree to this.*

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