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Groovy Goddess Authorized Reseller Application
Sign up to become an Groovy Goddess Authorized Reseller today! Just fill in the information below and we will review your application and notify you of your approval status. (Asterisks indicate required information.) If you have any questions about this application, or the Program, please contact us at resale(at)groovygoddess(dot)com.
 
Download Printable Sign Up Form if you would rather mail or fax this form.

First Name*Reseller #
for tax purposes
Last Name*SSN/EIN#*
for tax purposes
Company NameWebsite URL
Address*Email Address*
City*
State*
Zip Code*
Why do you want to be a Reseller?
How do you plan to resell products?

 
How many Groovy Goddess products have you purchased? 
 I agree to the Terms and Conditions of the Groovy Goddess Reseller Program
Submit
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