Yoga Life Style Wholesale Intake Form

Please fill out all the information below. Make sure you use the same email address as the one you will be using or already have used to register as a customer on this site. If you are already a registered retail customer changing to wholesale status this is also the form you want to fill out. Your wholesale account cannot be activated unless you are already registered on this site so if you have not registered yet do so immediately after submitting this form.