Wholesale

Thank you for your interest in partnering and selling Wicked Mojo Hemp Company products. Below is our wholesale application, please download and fill out. Once completed please email the form to wickedmojohempco@gmail.com. After it is submitted we will review your information and be in contact soon.

  • Company Information
  • Primary Contact
  • Upload Documents

Company Information

Business Name

Other Names Used in Business

Address

City

State

Zip

Phone #

Fax

Website

Email

Years in Business

Number of Locations

Number of Employees

Organization Type

Business Type

NC Resale #

Primary Contact

Full Name

Title

Phone #

Cell #

Email

Authorized Buyers #1

Full name

Position

Cell #

Email

Authorized Buyers #2

Full name

Position

Cell #

Email

Additional Location Information : Location #2

Address

City

State

Zip

Phone #

Email

Website

Additional Location Information : Location #3

Address

City

State

Zip

Phone #

Email

Website

Upload Documents

Upload Relevant Document File #1

Max. size: 100.0 MB

Upload Relevant Document File #2

Max. size: 100.0 MB