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Drop Ship Application Form

Getting started is easy. Simply fill out the form below to begin the process.

Upon approval of your application, you will receive an email with a reseller agreement and request for a resale certificate. Please sign and fax these to Eastern Leaf to activate your new account.

Once activated, you will receive a link to our drop ship reseller section as well as our welcome packet that includes our discount tier schedule, and instructions on how to begin placing orders.

If you have any questions prior to signing up, email us at dropship@easternleaf.com, please include a daytime phone number.

(* Indicates required information.)

*First Name:
*Last Name:
*Company Name:
*Street Address 1:
Street Address 2:
*City:
*State:
*Zip Code:
*Phone:
Fax:
*Email:
*Company Website:
Resale Lic. #:


Please enter the following code into the box provided:


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