EmailMeForm
Order Producer or Grower Form
Please submit one form, for each product offered.
Click above to read Policies & Protocol
We will only consider medicine that is completely organic, free of mold, pests, pesticides and any foreign matter. MUST BE CLEAN !!
We do encourage and respond to patient feedback, for quality control.
You will receive a notice of any and all feedback, concerning your product/s.
Too many complaints may be cause for termination of your product listing.
I have read, and understand the agreement above.
*
I verify, agree and confirm.
Cannabis Recommendaton
or
Valid Photo ID
*
Add File
If you have trouble uploading this file, skip it and email it seperately to: WholesaleMedicine@gmail.com
Email
*
Name
*
First
Last
Phone
###
-
###
-
####
Optional
Product offered
*
CBD
Edible
Equipment
Flowers
Hashish
Oil
Ointment
Other Concentrate
Shatter
Tincture
Wax
Sumbit only one product per form submission.
Strain or Name
*
Photo
*
A good photo, will increase response.
Test results
Option is to provide us a 2 gram sample.
Estimated quality THC percentage.
*
11.0% to 13.9%
14.0% to 16.9%
17.0% to 19.9%
20.0% to 22.9%
23.0% to 25.9%
26%+
Estimated investment per pound?
*
$
Dollars
.
Cents
What is your estimated cost of production?
Average is $250.00 to $500.00
State
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Illinois
Indiana
Iowa
Kentucky
Louisiana
Maine
Maryland
Minnesota
Mississippi
Missouri
Montana
Nevada
New Hamsphire
New Jersey
New Mexico
New York
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
Zip Codes Serviced
*
Seperate 5 digit zip codes with comma.
After you submit this form, it will be reviewed within 48 hours.
If accepted, you will receive email invoice for payment.
Then instructions to arrange obtaining a sample of your product for testing.
If testing proves adequate, your product will be listed on our website menu and you will receive an email notification.
The entire process from submission to listing, may take from 7 to 10 days average.
Listing Subscription
*
Start up $35.00
$35.00 per month thereafter.
Duration
*
1 month $35.00
2 months $70.00
When orders for your product are received:
1. A notification email is sent to your email address.
2. Upon receipt of payment, you are again notified by an email.
3. Assigned Courier will pick up and inspect ordered product, then compensate you.
WE DO NOT PROVIDE PATIENT INFO., NOR PROVIDER INFO. TO PATIENTS.