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Wholesale Application Form - Leiluna

Instructions & Information:

To be eligible for a wholesale account with Leiluna llc, you must be a business that is distributing the products that you are buying, or a business that uses the products to service the public. A business license or resale number is required, where applicable. If you have any questions about whether or not you qualify for an account, please contact athan@www.leiluna.co.

Wholesale pricing is not eligible for Free Shipping.

To apply for a wholesale account, please fill out and submit the form below. Fields marked with an asterisk (*) are required.

Please be sure to provide us with a valid email address so that we can notify you once your account has been approved and activated.

Sales tax will be charged on all orders shipped to Nevada unless we have your Nevada Resale Certificate on file.

Wholesale prices are not eligible for free shipping. Pickup/Your Own Carrier is also an option.

Certificate of Analysis (COA) and Samples will be provided as soon as your account is activated and negotiation starts.

Brands that are under Leiluna LLC:

  • TreeActiv
  • Purisure
  • TEAkihHut
  • Natrisweet
  • OPTML Performance
  • Kynd Leaf

If approved you are only authorized to sell through the retail store that you have listed. Secondary stores, as well as website and online sales must receive prior written approval.

Click Next if you agree and understand.

* Required






Person In-charge of B2B/Purchases/Communication | Please add LinkedIn account if possible

Person In-charge with B2B Transactions

This will be the main email where we will send Certificate of Analysis COA and Invoices

Please indicate a complete billing address (Address line, City, State and ZIP Code) This should be aligned with the payment option that you have chosen for possible validation

Please indicate your complete shipping address (Address line, City, State and ZIP Code) This where we will send Orders and Samples

Google Hungouts, WeChat, QQ, Skype and Messenger (OPTIONAL) Person In-charge with B2B Transactions




Please provide your company website or eCommerce platform






Credit terms will depend on Minimum Order Quantity (MOQ) and tenure of your wholesale account with us.





We will request additional verification for Credit Card / Phone Order / Mail Order to prevent any fraud transaction.