Real Mushrooms Reseller Application
Real Mushrooms is seeking high quality retailers to partner with to spread the word of real mushrooms. To read more about us, see this blog post:

If you believe you fit the bill, please fill out the form below with your business information.

We will verify your information and approve you for our program. Once approved, we will contact you directly and provide you with your personalized account details for purchasing Real Mushroom product.
Sign in to Google to save your progress. Learn more
Full Business Name *
Business Type *
Contact Name *
Contact Position *
Email *
Phone *
Address *
Address (secondary)
City *
State/Province *
Country *
Zip/Postal Code *
Where would you sell our products? *
How many locations do you have? *
Do you sell on any 3rd party marketplaces? (Amazon, eBay, Walmart, Jet, etc.) *
Why are you a good fit for Real Mushrooms? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nammex. Report Abuse