Authorized Reseller Request

11. Entity Type *This question is required.

• Corporation
• Limited Liability Company
• Limited Partnership
• Partnership
• Sole Proprietorship
• Other Please enter an 'other' value for this selection.

18. Do you sell outside the United States of America? *This question is required.

• Yes
• No

20. Do you have a brick-and-mortar store front(s) in the United States of America? *This question is required.

• Yes
• No

22. Do you intend to use any third party fulfillment service to store inventory or fulfill orders of Indigo Wild products? *This question is required.

• Yes
• No

24. Have you ever been a debtor in any bankruptcy, receivership, or other insolvency proceeding? *This question is required.

• Yes
• No

26. Has any company in which any of your company’s principals hold an ownership interest ever been a debtor in any bankruptcy, receivership, or other insolvency proceeding? *This question is required.

• Yes
• No

28. Are there any pending lawsuits in which your company is involved? *This question is required.

• Yes
• No

31. Do you intend to seek authorization to sell Indigo Wild products online?


Please review the restrictions on online sales set forth in the Indigo Wild, LLC Authorized Reseller Policy carefully. Please note that if you are approved to become an Authorized Reseller of Indigo Wild products, you are not permitted to market or sell Indigo Wild products on or through any website, online marketplace (including, but not limited to, Amazon, eBay, Walmart Marketplace, or Target+) without our prior written consent, which is only granted after both you and Indigo Wild, LLC have executed a separate Indigo Wild, LLC Authorized Online Seller Agreement. Our consent to sell Indigo Wild products online is NOT granted through this Authorized Reseller Request Form. *This question is required.

• Yes
• No

32. Do you store or intend to store your inventory of Indigo Wild, LLC products at a location other than the Company Physical Address identified above? *This question is required.

• Yes
• No

34. How did you hear about us? *This question is required.

• Previously purchased at store (e.g., Whole Foods)
• Search Engine (e.g., Internet search, blogs, websites, etc.)
• Facebook
• Twitter
• Indigo Wild Blog
• I received an Indigo Wild product(s) as a gift
• One of my friends or family members told me about Indigo Wild
• Media (e.g., Magazine, Newspaper, TV, Radio)
• Tradeshow / Shopping Event / Festival
• Saw or sampled Indigo Wild products at: Please enter an 'other' value for this selection.
• Received an Indigo Wild Catalog, my catalog code is: Please enter an 'other' value for this selection.
• Other: Please enter an 'other' value for this selection.

37. Legal Agreement

1. If approved to become an Indigo Wild Reseller, you acknowledge and agree that you will abide by the Indigo Wild, LLC Authorized Reseller Policy.

2. If approved to become an Indigo Wild Authorized Reseller, you understand that you are strictly prohibited from using Indigo Wild’s brands, names, logos, trademarks, service marks, trade dress, copyrights, and other intellectual property related to Indigo Wild products in any way other than as granted in the Authorized Reseller Policy without Indigo Wild’s express prior written consent in each instance.

3. You affirm that the information provided in this Authorized Reseller Request Form is true, accurate, and current. *This question is required.

• Submit