Wholesale Order Form

    Sales Rep Info:

    * indicates a required field

    Rep Name

    Company Info:

    Tinctures:

    30ml

    Natural:

    Chai:

    Lemon-Ginger:

    10ml

    Natural:

    Chai:

    Lemon-Ginger:

    4ml

    Natural:

    Chai:

    Lemon-Ginger:

    Pet:

    30ml

    Pet Tincture:

    Topicals:

    Salve:

    Pre-Roll:

    2-Pack Tubes

    Cherry Mom Pre-Rolls:

    Special Sauce Pre-Rolls:

    Lifter Pre-Rolls:

    Electra Pre-Rolls:

    Flower Jars:

    Cherry Mom Jars:

    Special Sauce Jars:

    Lifter Jars:

    Electra Jars:

    Notes:

    Please prove you are human by selecting the Heart.