Wholesale Wholesale Candle Order Form (#23)Δ Wholesale Candle Order Form Date First NameLast NameBusiness Title- Select -Sole Proprietor/OwnerOperations ManagerSales & PurchasingLegal Business or Company NamePhone Number Company EmailDriver's License File UploadChoose File Company WebsiteYears in Business- Select -Opening SoonStarted in 2023Started in 2018-2022Started before 2018Business Type- Select -Physical Retail StoreOnline OnlyFurniture StoreBook StoreApparel BoutiqueGift ShopOtherIf delivery address is the same as billing check box. If delivery and billing is different please complete billing address. Yes, Delivery and Billing Address are the same.Delivery AddressAddress Line 1Ste. #CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCardholder Name Credit or Debit Card NumberExpiration DateCVV CodeTHE UNDERSIGNED AGREES THAT PAYMENT WILL BE MADE IN FULL, FOR ALL MERCHANDISE, AS ORDERS ARE PLACED. FAILURE TO DO SO MAY RESULT IN DELAYED PROCESSING TIMES.Billing AddressAddress Line 1Ste. #CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCANDLE SCENTSPLACE ORDERS HERE:Select TWO scents for the Standard Candle Case ( Each Case contains a dozen candles. The Standard cases are distributed as followed: 7 oz., 10 oz., 12 oz., 18 oz., 28 oz. Radiant Energy Candles (Rose & Vanilla) Balsalm Pine Candles Christmas Pine Tree Candle Lavender & Sage Candles Fresh Autumn Candles Sandalwood Coconut Candles Pumpkin Spice Waffle Candle Lemonade Candles Orangesicle Candles Sea Salt Citrus Candles Black Cedarwood Juniper with Sandalwood Rose Candles Pink Sunday Candles Citrus Bliss Candles (Lemon & Orange) Clean Linen Candles Basil Neroli Candles Clean & Comfy Candles Sea Salt Ocean Breeze Candles Real Experience Candles Blooming Flower Candles Midnight Blue Candles Apple Cinnamon Spice Candles Sunrise Breeze & Apple Spice Infusion Candles Oasis Candles Island Getaway Candles Citrus Mist Candles Orange Orchard Candles Earthy Rejuvenation Candles Pina Coladasicle Candles Island Dream Candles Blueberry Citrus Crumble Candles Lemon Squeeze Candles Minty Eucalyptus Aromatherapy Candles Secret Admirer Candles Raspberry Cocktail Candles Berry Peachy Candles Blueberry Cheesecake Candles Wild Berry Rose Petals Candles Lavender Tranquility Candles Sun Berry Paradise Candles Aquamarine De Blue Candles Honey Cinnabon Candles Autumn Leaves Candles Wintery Spearmint Candles Moonlight Star Candles Spiced Clove Sticks Candles Frosted Berry Tree Candles Holiday Spiked Mug CandlesWAX MELTSSelect TWO scents for the Premium Wax Melts Case - Each Case contains a dozen wax melts packages with 2 in each pack. The Premium cases are distributed in 12 units packages. Radiant Energy Wax Melts (Rose & Vanilla) Lavender & Sage Wax Melts Sandalwood Coconut Wax Melts Lemonade Wax Melts Sea Salt Citrus Wax Melts Black Cedarwood Juniper with Sandalwood Rose Wax Melts Pink Sunday Wax Melts Citrus Bliss Wax Melts ( Lemon & Orange) Clean Linen Wax Melts Basil Neroli Wax Melts Clean & Comfy Wax Melts Sea Salt Ocean Breeze Wax Melts Real Experience Wax Melts Blooming Flower Wax Melts Midnight Blue Wax Melts Apple Cinnamon Spice Wax Melts Ocean Sea Salt Breeze Wax Melts Oasis Wax Melts Island Getaway Wax Melts Citrus Mist Wax Melts Orange Orchard Wax Melts Earthy Rejuvenation Wax Melts Pina Coladasicle Wax Melts Island Dream Wax Melts Blueberry Citrus Crumble Wax Melts Lemon Squeeze Wax Melts Minty Eucalyptus Aromatherapy Wax Melts Secret Admirer Wax Melts Raspberry Cocktail Wax Melts Berry Peachy Wax Melts Blueberry Cheesecake Wax Melts Wild Berry Rose Petals Wax Melts Lavender Tranquility Wax Melts Sun Berry Paradise Wax Melts Aquamarine De Blue Wax Melts Honey Cinnabon Wax Melts Autumn Leaves Wax Melts Wintery Spearmint Wax Melts Moonlight Star Wax Melts Spiced Clove Sticks Wax Melts Frosted Berry Tree Wax Melts Holiday Spiked Mug Wax MeltsPlease select your glass jar or tin canister containers: Clear Glass Jars with wooden lid 7 oz. - $9.00 / Dozen Candles per Case $108.00 per candle. Clear Glass Jar with Rose lid - 10 oz. - $165.00 / Dozen Candles per Case $13.75 per candle. Copper Lid, Glass Jar - 12 oz. $180.00 / Dozen Candles per Case $15.00 per candle. Stainless Steel Lid, Glass Jar - 12 oz. $180.00 / Dozen Candles per Case $15.00 per candle. 18 oz. - $17.50 ea. | $210.00 per case of 12 units Silver Lid Glass Jar Stainless Steel Lid, Glass Jar 28 oz. - $288.00 | Dozen Candles per Case $24.00 per candle If you want to order more then 1 case please make notes in the comment section down below. Please let us know which scents you want to include.How did you hear about us? Search Engine Company Website Social Media Friend or Family Independent Candle Distributor Representative I have read and agree to the Privacy Policy and Refund/Exchange Policy.Additional Comments I consent to have this website store my submitted information so they can process my order.Total Amount Billed: $Signature RequiredBy sigining this form, you are confirming that the order placed is accurate. All Wax Candle Company will ship your order to the shipping address listed. Please contact us within 24 hours of your initial order placement via email, or phone to make changes to recent orders. Thank you. Place Order