Kushley Wholesale Order Form

Kushley Wholesale Order Form
Wholesale orders are only available to registered resale businesses. Buyers must submit W9 and Tax ID/EIN number to purchase. Please contact us at info@kushley.com if you have any questions and/or need a copy of our W9.
Terms & Conditions
- Two case minimum
- Shipping FOB plant - No COD
- No credit allowed on returned goods without prior authorization from Kushley, LLC, restocking fee 15%.
Name*

First NameLast Name
Email*
example@example.com
Business Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
YesNo
Shipping Address*

Street Address

Street Address Line 2

CityState

Zip Code
Company Name*
Tax ID / EIN*
Upload W9 and/or Except certificate

PDF, PNG of JPG accepted
Cancelof
Fine Mist Spray (4oz each)
Pocket Mister (20ml each)
32oz Trigger Spray
Gallons
Cannabinoid Resin release (.75oz Tubes)
Counter Product Display Case
Please verify that you are human*
After Submission, you will receive separate emails for the confirmation of your order submission, your payment receipt, and shipping confirmation.

We will call you to confirm the payment details.
Should be Empty: