Wholesale Application | The Healing Rose

Business Information

Legal Business Name *

Business DBA (if applicable)

Tax ID / EIN Part of what we need for sales tax exemption. If you'd rather not share, that's okay, we'll just need to charge your state's sales tax.

Primary Account Contact

Contact Name *

Contact Email *

Contact Phone Number *

AP / Billing Address

On-Site Store Contact (if different from primary contact)

Store Phone Number *

Store Shipping Address (if different than billing)

Online Presence

Website

Company / Store Instagram Handle

Additional email contacts to copy on order information (max 3)

Partnership Details

Do you currently carry CBD products?

Yes No

Do you plan to sell our products online? *

Yes, Right Away Maybe / Not Sure / Not Right Away No

What type of wholesale partnership are you interested in establishing?

I am interested in purchasing finished Healing Rose products I am interested in purchasing bulk cannabinoid extracts for processing/manufacturing I am interested in discussing a private label/white label partnership

How did you hear about The Healing Rose?

Tax Exemption

Upload your state's tax exemption certificate to have sales tax waived Our legal address for your exemption form: The Healing Rose LLC, 23 Hale Street, Unit H, Newburyport, MA 01950. Please note: we legally need this on file to not charge sales tax. For Massachusetts, please submit your completed and signed ST-4 form. Max file size 100MB. Not sure what your state calls this form? Check TaxJar's state-by-state guide.

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Thank you for applying!

We've received your application and will follow up within 1-3 business days with your customized approval email.