Please feel free to contact us with any interest that you may have in our Hemp Extract or Fermented Wheat Germ Extract products. Use the form below, and select your category of interest; Personal Use, Reseller, or Distributor. Fill in all required fields, and one of our expert representatives will respond shortly

Personal Use:

If your interest is to acquire product for personal use, select “Personal Use” in the form to the right, fill-in required fields and click send form

Reseller:

If your interest is to acquire product for retail, select “Reseller” in the form to the right, fill-in required fields and click send form. Keep in mind that the information you provide will be vetted to help us authenticate you as a retailer, where we can provide you with confidential reseller pricing and other relevant information.

Distributor:

If your interest is to acquire product as a distributor, select “Distributor” in the form to the right, fill-in required fields and click send form. Keep in mind that the information you provide will be vetted to help us authenticate you as a distributor, where we can provide you with confidential distributor pricing and other relevant information.

Thank you.


    SELECT ONE
    Please select your level of interest from the dropdown list:

    YOU SELECTED “PERSONAL USE”
    If you're interested in our products for Personal Use, please fill in the following form and click the Send button:
    CONTACT INFORMATION

    Your Name: (required)


    Your Email: (required)

    Phone:

    YOU SELECTED “RESELLER”
    If you're a reseller, please fill in the following form fields and click the send button:

    Company Name:

    What products do you sell:
    GeneralDedicated Health

    What are your annual product sales value:

    Select sales channels that apply:
    WebsiteStore

    Enter number of stores:


    Enter your website address: (required)



    YOU SELECTED “DISTRIBUTOR”
    If you're a distributor please fill in the following form fields then click the Send button:

    Company Name:

    What products do you sell:
    GeneralDedicated Health

    What are your annual product sales value:
    $

    Select distribution area:
    DomesticInternational

    Enter your website address: