Product Supplier Form

Partner With Us

AN INVITATION TO CONSCIOUS PRODUCT SUPPLIERS

11:11 Wellness is a curated space for brands creating with intention, sustainability, and soul. We welcome aligned suppliers who share our vision.

I would like to apply to be a product supplier

BUSINESS INFORMATION

Company Name

Website

Primary Contact Name

Primary Contact's Role/Position

Phone

Company Owner/Founder

Year Founded

BRAND STORY & VALUES

What is your brand story and why did you start your business?

What is your purpose or "why"?

What values or principles guide your work?

How does your brand align with the ethos of 11:11 Wellness?

COMPANY PILLARS

What are your company's core pillars or guiding principles?

How are these reflected in your business practices?

PRODUCT INFORMATION

Product Name(s)

Description of Product(s)

Key ingredients or materials (including origin)

What makes your product(s) unique?

SUSTAINABILITY & ETHICS

How are your ingredients or materials sourced?

Please describe your sustainability and ethical practices (production, packaging, labor, environment)

Do you hold any relevant certifications or trademarks? (If yes, please list)

WHOLESALE DETAILS

Minimum order quantity (MOQ)

Production lead time

Wholesale pricing

Any additional information you'd like to share