(CA) Wholesale Client Registration Form

Due to limited capacity and growing demand for our Wholesale Program we will be adding potential clients to our waiting list queue. We will contact you via email to confirm we have received your application and share any next steps. When your application is approved we will be sending you our password for our wholesale website along with our wholesale terms. We hope to update our wholesale website availability weekly. We look forward to working with you all. Thank You - Las Selvas

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* 1. Your Business Name

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* 2. Full Name

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* 3. Phone Number

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* 4. Email

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* 5. Instagram Handle

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* 6. Sellers Permit Number/Resale Tax ID#

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* 7. Are You Able To Pick Up Plants From Our San Bruno Location ?

Yes I can pick up

No I would need them shipped

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* 8. Buisness Type (Select All That Apply)

Brick & Mortar Store

Online Store

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(CA) Wholesale Client Registration Form

Question Title

* 1. Your Business Name

Question Title

* 2. Full Name

Question Title

* 3. Phone Number

Question Title

* 4. Email

Question Title

* 5. Instagram Handle

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* 6. Sellers Permit Number/Resale Tax ID#

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* 7. Are You Able To Pick Up Plants From Our San Bruno Location ?

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* 8. Buisness Type (Select All That Apply)

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* 9. Any questions or comments ?