Wholesale Client Onboarding Form

Wholesale Client Onboarding Form

Thank you for being a valued partner of Sanctuary Medicinals INC.
Business Name*
Business DBA (Payment will be received from)*
Buyer Name*

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Accounting Contact (Please list two if able)*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Accounting contact (2)*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Scheduling Link or List of Contacts to receive final docs.
Trade Reference (1)
Business Name
Contact Email
example@example.com
Trade Reference (2)
Business Name
Contact Email
example@example.com
W-9

Cancelof
ST-4

Cancelof
License

Cancelof
Sanctuary Medicinals offers 30 Day NET Terms.

Limit to one purchase until on-time payment is achieved.

5% off qualifiable COD orders.

If payment is not received within 30 days, Sanctuary Medicinals INC. reserves the right to remove any pre-existing discounts on delinquent invoices. Sanctuary Medicinals reports AR to Cannabiz.
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