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The GCC Wholesale Application
Please fill out the form below and we'll be in touch within 1-2 business days.
Looking forward to working together.
* Required
Company Name
*
Your answer
Shop Type (select all that apply)
*
Dispensary
Giftware
Home Decor
Brick & Mortar
Online Store
Other:
Required
First Name
*
Your answer
Last Name
Your answer
Address
*
Your answer
City
*
Your answer
Province/State
*
Your answer
Postal / Zip Code
*
Your answer
Country
*
Canada
USA
Other:
Website URL
*
Your answer
Email Address
*
Your answer
Phone number
Your answer
Social Handles
Your answer
Number of stores
1-3
4-10
11-50
50+
Clear selection
Additional Comments
Your answer
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