• Business Name
• Contact Person
• Email Address
• Phone Number
• Business Website or Social Media

• Type of Business
  (Boutique, salon, spa, gift shop, realtor, subscription box, corporate gifting, etc.)
• Business Address
• Do you sell online, in‑store, or both?

• Which productContact s are you interested in?
  
  
  • 6 oz Tins
  • 10 oz Jars
  • 20 oz 3‑Wick Jars
  • Wax Melts (1.5 oz)
  • Custom Label Candles
• Estimated first order quantity:
  (12–47 units, 48–119 units, 120+ units)
• Preferred scents or scent categories:
  (Clean, floral, warm, seasonal, etc.)

• Are you interested in custom labels?
  • Yes
  • No
• If yes, describe your branding or upload your logo:

• Preferred delivery method:
  • Pickup
  • Local delivery
  • Shipping
• Requested delivery date:

• How did you hear about ZoeJane Candle Co.?
• Any additional notes or requests?
• Would you like to receive seasonal wholesale updates?
  • Yes
  • No

For approved stockists. 

• Business Name
• Contact Person
• Email
• Phone

Wholesale tiers:

• Tier 1: $7.77
• Tier 2: $7.12
• Tier 3: $6.48

Quantity: _______
Scents: _______________________________________

Wholesale tiers:

• Tier 1: $12.00
• Tier 2: $11.00
• Tier 3: $10.00

Quantity: _______
Scents: _______________________________________

Wholesale tiers:

• Tier 1: $18.00
• Tier 2: $16.50Business Information
• Tier 3: $15.00

Quantity: _______
Scents: _______________________________________

Wholesale tiers:

• Tier 1: $2.40
• Tier 2: $2.20
• Tier 3: $2.00

Quantity: _______
Scents: _______________________________________

• Would you like custom labels?
  • Yes (+$2 each)
  • Yes, 48+ units (+$1 each)
  • No

If yes, upload logo or describe design:

• Total units ordered: _______
• Wholesale tier applied:
  
  
  • Tier 1 (12–47 units)
  • Tier 2 (48–119 units)
  • Tier 3 (120+ units)
• Custom label fees (if applicable): _______
• Estimated total: _______

• Delivery method:
  
  
  • Pickup
  • Local delivery
  • Shipping
• Requested delivery date: ____________________
• Notes for delivery/packing:
  
  

By submitting this order, you acknowledge:

• Lead time is 7–10 business days (standard)
• Custom label orders require 10–14 business days
• Large bulk orders require 2–3 weeks
• Payment is required before production begins

Signature: ___________________________
Date: _______________________________