Thank you for your interest in Jillibean Soup products! To set up a wholesale account, please fill out the form below. We will need a copy of your tax ID to complete your application. Please e-mail a copy of your tax ID to info@jillibean-soup.com or fax a copy to (614) 448-4701. We will notify you when your application has been processed. Your desired username and password will be activated once your application has been approved.

Contact Information
* First Name:		* Tax ID:
* Last Name:		* Does your company have a physical storefront?	No Yes
* E-mail Address:		* Does your company have an online store?	No Yes
* Confirm E-mail:		Is your company a kit club?	No Yes
* Phone:		URL address
Fax:		Company description
Company Information		Would you like to be listed on our store directory?	No Yes
* Company Name:		How did you hear about us?
* Street Address:		Other
* City:		* Password
* State/Province:	Non US AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	* Confirm Password
* Zip Code		Security Image  Reload Image
* Country		Enter letters/numbers from the image above

After you fill out the form above, be sure to read our Wholesale Policies by clicking here.