Interested in a wholesale pricing? The quickest way to get the scoop is to complete this form. We’ll send you a price list and more info about our wholesale products.

aloha@rebelsroosthawaii.com

Business Name

Business Website

http://

Contact Name

First Name

Last Name

Phone

(###)

###

####

Billing Address

GE Tax ID number

We ask all wholesale accounts to submit HI form G-17 to us with their first order. This simple form can be found at: https://files.hawaii.gov/tax/forms/2016/g17.pdf )

Through which type of business will you be reselling our products?

Quantities

Our wholesale discounts are based on quantities purchased. Do you plan on purchasing in units or cases?

Which of our products are you interested in?

How did you hear about us?