Choice Wholesale Application Form
Thank you for your interest in Choice Botanicals. Kindly fill out the form below. You may also email us directly at sales@choicebotanicals.com
Full Name
*
First Name
Last Name
Business Name:
*
Phone Number
*
Email
*
example@example.com
Shipping Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
E-Commerce Platform
Smoke Shop
Convenience Store
Distributor
Website:
Preferred Method Of Contact
Phone
Text
Email
Message? Comments?
NOTE:
We do ask that all new stores provide a copy of their IRS issued EIN number and/or your Tax ID Certificate to help us verify your business. We cannot process orders without these documents. You can also send your documents directly via email, sales@choicebotanicals.com.
EIN Number
Tax ID Certificate
Browse Files
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Choose a file
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of
Choice Products
Kindly let us know which choice products you are interested in purchasing.
Kratom Capsules
Kratom Capsules (All Sizes)
30 Count
60 Count
100 Count
500 Count
1000 Count ( Choice Kilos)
125 Count (Minis)
250 (Minis)
Kratom Powder
Kratom Powder (All Sizes)
30 Grams
60 Grams
100 Grams
250 Grams
500 Grams
1000 Grams (Choice Kilos)
Liquid Extracts
Liquid Extracts (All Flavors)
Liqid Platinum (10ML)
Liqid Gold (10ML)
Red Vien (12 ML)
Maeng Da (12 ML)
Green Apple (15 ML)
Double Green Apple (30 ML)
Mitra Extracts
Mitra Extracts (All Flavors)
Mitra Rush
Mitra Burst
Capsule Extracts
2 Count
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