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Mother ease Cloth Diapers Wholesale Application Form

Mother ease is accepting brick and mortar retail stores to promote and sell our products in the U.S. and Canada.

Please fill in this form and we will get back to you within 3 business days.
Note: Mother ease does not offer exclusively drop shipping accounts.

Outside of the United States or Canada, please use our International Wholeale Form

Personal Information

Your Name*

Phone Number*

Your Email*

Street Address*


State / Province*

Zip / Postal Code*


Company Information

Company Name*

Website URL*

Type of Business*

State Sales Tax ID

Year Business Was Established*

What best describes your business?*

Have you ever used Mother ease Cloth Diapers?*
Yes No 

If yes, please list:

Are you currently selling other diaper products?*
Yes No 

If yes, please list:

Feel free to give us any other comments or information which you feel would be helpful in our decision making process:*

Are you ready to place your order now? (There is a minimum order requirement)*
Yes No