Become Self Employed Seller Application Form 🌿 Seller Application Form Full Name Business Name Email Address Phone Number Business Address Website or Social Media Business Type Select one Individual Artisan Small Business (1-10 employees) Medium Business (11-50 employees) Cooperative or Collective Other How long have you been selling wellness products? Less than 1 year 1-2 years 3-5 years 5+ years Describe your business and what makes it unique Products You Wish to Sell Herbal Supplements Organic Skincare Whole Foods Herbal Teas Essential Oils Natural Remedies Wellness Accessories Other Are your products certified organic? Yes No In Progress Upload Certification Where are your ingredients sourced from? Do you support fair trade/sustainability? Yes No Not Sure Please elaborate Do you currently handle order fulfillment? Yes No Planning to set up soon Regions You Can Ship To Domestic Only International Both Why do you want to join our marketplace? How do your values align with holistic health? Agree to guidelines and terms? Select Yes No I’d like to discuss further Signature (Type Full Name) Date Submit Application