Apply For a Wholesale Account

Thank you for your interest in opening a wholesale account with us!
Please fill out the form below and allow up to 72 hours for approval.

PLACE YOUR ORDER DIRECTLY

First Name *

Last Name *

Email address *

Business Name *

Address 1 *

Address 2

Country

State

City *

Zip/Postal Code

Phone Number *

Type of business

Website (if applicable)

Have you used Urbani products before? *

What products are you most interested in? *

Business Verification We require official business documents (tax filing, recent utility bill, or article of incorporation) in order to approve your request.

PDF File * (max 512M)

Submit

Your request has been submitted.
We appreciate your interest and will respond shortly.

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