Contact Info
 
First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
Best Phone Number To Reach You*
 
 
 
Company Info
 
Business Name*
 
 
 
Product/Brand Name*
 
 
 
Star Product*
 
 
 
Product Type
 
Fashion
 
 
Personal Care
 
 
 
Mother & Babay
 
 
Consumer Electronics
 
 
 
Health & Nutrition
 
 
Beauty & Cosmetics
 
 
 
Houseware/Cookware
 
 
 
 
 
Business Website (if applicable)*
 
 
 
Brand Introduction or Brand Deck (One Paragraph)*
 
 
 
File Upload
 
 
 
 
 
 
Optional: Add Short 2-Minute Youtube Link
 
 
 
Explanation of Ability to Scale Product
 
 
 
Company Contact and Title
 
 
 
 
Documents
 
If readily available. Will be required later, upon selection.
 
 
Certificate of Incorporation
 
 
 
File Upload
 
 
 
 
 
Tax ID Registration (Letter from IRS issuing the EIN)
 
 
 
File Upload
 
 
 
 
 
Current Business License (if applicable - state or local)
 
 
 
File Upload