Join Our Wholesale Community

Pure Green Wholesale On-boarding form

If you’re interested in joining our wholesale community, complete the on-boarding form below. Once submitted, a member of our team will review and reach out with details on next steps!

Business Name

Business Address

City

State/Province

Postal/Zip Code

Contact Name (person who places orders)

First Name

Last Name

Contact Phone

(###)

###

####

Contact Email

Accounting Contact Name

First Name

Last Name

Accounting Contact Phone

(###)

###

####

Accounting Contact Email

Current Distributors (please list)

Delivery Contact Name

First Name

Last Name

Delivery Contact Phone

(###)

###

####

Delivery Contact Email

Full Delivery Address

Delivery Restrictions (delivery hours, loading dock, etc)

I acknowledge all product must be refrigerated within 3 hours of delivery.

Yes

Payment Method

Frequently asked questions (FAQ)