Wholesale Form

Fill out the form below and one of our experts will contact with additional information

Business Name *

First Name *

Last Name *

Email *

Phone *

Business Address *

City *

State *

Postal code *

Attach your Business License *

Attach your Seller's Permit *

Please attach completed W9 (https://www.irs.gov/pub/irs-pdf/fw9.pdf) *

Hemp License (if applicable). **If you are a Texas business, a DSHS Retail Hemp license, DSHS Consumable Hemp Product license, or a TDA Handler license is required.

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FL NRSY LIC: 48025402 | FL FEP LIC: 2023-R-2010799 | FDACS HEMP LIC: 12_4CF5BA24

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