Apply to be a wholesaler

Email address *

First Name *

Last Name *

Company Name *

Phone *

Website *

Shipping Address *

Do you acknowledge that a minimum purchase of $500 is required for wholesalers & a minimum purchase of $1000 is required for distributors? Y/N *

Are you applying to be a Bloom Hemp Wholesaler or a Bloom Hemp Distributor? *

What industry are you in? (optional)

How will you promote us? (optional)

A password will be sent to your email address when your account is approved.

Register