Wholesale Order Quote Form

Interesting in selling Brilliant Scents products or buying wholesale? Fill out the form below and we'll reach out to you for further details.

First Name *

Last Name *

Email *

This email will be used for communications and billing

Phone *

This phone number will be used for notifications and billing [if your shipping phone number differs please let us know in the order comments]

Company Name *

Company Website

Address

Please enter the company address including zip code, state and country, this will be used for Billing and Shipping. [If different, please let us know in the comments below]

Contact Preferences *

Email
Phone

Please select at least one way we can communicate with you.

Products

1. Product Name *

Provide the name of the product you're interested in

1. Product Variation

Provide the Size of the product (if available)

1. Quantity *

The number of products you're interested in

2. Product Name

2. Product Variation

2. Quantity

3. Product Name

3. Product Variation

3. Quantity

4. Product Name

4. Product Variation

4. Quantity

5. Product Name

5. Product Variation

5. Quantity

Comments / Requests

How did you hear about Brilliant Scents?

Google
Amazon
Facebook
Instagram
Twitter
Tiktok
Youtube
Online Article / Blog Post
Family / Friend / Colleague
Other

Thank You

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

By submitting this form you agree that our team will use the information below to communicate with you [the buyer] and process your order. If you have any questions regarding our policies, costs and processes, you can reach out to our team via Email or Phone during regular business hours.

Thank You

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Room Sprays - Green Haus Collection