Wholesale Reseller Request

Business Name *

Contact Name *

Contact Phone Number *

Contact Email *

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Website URL *

Business Address *

Business Type *

Please explain *

What best describes your business? *

What products are you interested in? (select all that apply) *

Blate Papes® Core Series Capsule Filling Machines Pro Series Capsule Filling Machines Pro-Op Series Capsule Filling Machine Gelatin Capsules Vegan Capsules Accessories Other

Please explain *

Estimated Order Volume *

Intended Purchase Frequency *

How did you hear about us? *

Reseller Permit *

I confirm that I will NOT sell Blated® products on Amazon, eBay, Etsy, TikTok Shop, or any similar online marketplaces.

I have read and agree to the Wholesale Terms and Conditions

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