Prospective Retailers

Prospective Retailers

Interested in becoming a CoCaLo retailer? Please fill out the form below.

You can also mail your request for information directly to us at:

CoCaLo, Inc.
Attn: Sales Department
2121 Alton Parkway Suite 150
Irvine, CA 92606-4954

*Company Name
*First Name
*Last Name
Zip/Postal Code
How did you hear about our products?
Sales Tax ID Number
Number of Years in Business
How do you plan on selling/distributing CaCaLo products?
Retail stores?
Do you sell online as well?
If "Yes", please provide your web address
Retail business type?
Other manufacturers you carry?
Other information about your business and objectives
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