Wholesale pre-order for fall & winter 2021

Name *

First

Last

Company/organization

Email *

Where did you hear about us? *

If other, please specify:

What would you like to order, and how many units of each? *

Please be sure to specify the type (e.g. if you want sweet or sour gummy bears).

"Ship to" name if different from above

Street address (line 1) *

Street address (line 2)

City/town *

Province/territory *

Postal code *

Please use format: A1A 1A1

Preferred method of payment *

Once you submit your form, we will contact you to process payment.

Payment terms *

I understand that payment is required before my order is processed, and that if I do not make my payment on or before October 8 (2021), I won't receive the items I requested in this form.

Phone