Signup - Celestial Wellness

Thank you for interest in working with Celestial Wellness.

We look forward to having you on the team!

If you are a retail customer who has found this page by mistake please visit on our Online Retail .

After submitting the below information one of our team members will contact you to set up your account.

For any questions please call us at 336 377 7046

1. Business Address

Company Name

Address Line 1

Address Line 2

Town / City

Postal / Zip Code

Country

State / Province

Phone Number

Sales Tax Number (if applicable)

FEDERAL Tax ID Number

STATE Tax ID/Account Number (NOT THE SAME AS YOUR FEDERAL TAX ID #)

Check for Retail Store

Check for Wholesale

Please enter the name of your SALES REP (if you do not have one yet, please enter "N/R")

If you do not have a sales rep, how did you find out about us?

Your Name

Email Address

New Password

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