Full Name: (required)

Title: (required)

Company: (required)

Phone: (required)

Email: (required)

Website:

City and State:

Industry: (required)
—Please choose an option—Adult (lingerie, toys/novelties)Smoke/Vape ShopGifts/New Age/BookstoreAmazon or Ebay ResellerBeauty/Spa/MassageClothing /Accessories BoutiqueHospitality/Resort/Travel/RestaurantGrocery/Natural Health MarketTattoo/PiercingSubscription BoxHome PartyMedical/Healing ClinicOther

Notes: (required)
Please answer the questions below to help us learn a bit more about you and your business:
Please provide your Resale Certificate or State Tax License Number
How did you first hear about Hemp Seed?
How many years have you been in business?
Do you have more than one store? If so, please list your store locations.
Do you sell online, in a brick-and-mortar store, or both?
What types of products do you carry?
What are your customer demographics?
When is your "busy season" (i.e. Valentine's, Winter Holidays, Summer etc.)
What Hemp Seed products are you most interested in?
Would you prefer to be contacted via phone or email?