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Business Samples Request Form

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- samples step 1
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- viscosity
- wholesale
- canada
- mexico
- uk
- state
- customformulation
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obility_id
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Name*
First Last
Company*
Industry*
- Cannabis/Hemp
- Food & Beverage
- Wellness
- Other
In which other industry does your company operate?*
Email*
Enter Email Confirm Email
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Phone - legacy*
Phone*
Preferred Contact Method*
Website*
Please write a brief description of your custom formulation request*
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Name*
First Last
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Company*
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Email*
Enter Email Confirm Email
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Phone*
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Website*
Would like to answer a few extra questions?
Help us learn more about you so we can better serve you
- Sure
- No thanks
What do you create?*
- Cartridges
- Tinctures
- Topicals
- Edibles
- Beverages
- Wellness
- Other
What OTHER things do you create?*
Which terpene solutions are you interested in?*
- Terpene Strain Profiles
- Flavor-Infused Strain Profiles
- Effects-Based Terpene Profiles
- Terpene Flavor Profiles
- Live Resin Hemp Terpenes
- Other
What OTHER terpene solutions are you interested in?*
Is there anything specific you would like to try?
Which business solutions are you interested in?*
- Bulk & Wholesale Pricing
- Customs & Exclusives
- White Labeling
- Toll Blending
- Other
What OTHER business solutions are you interested in?*
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Questions about Viscosity?
Where are you located?*
- United States
- International
Address (US)*
Business sample packs shipped outside of the mainland United States will not include any isolate samples (no AK or HI)

DO NOT USE a PO box. We cannot ship isolates to an address containing a PO box. Please use a standard address or the items may not arrive to you.

Street Address Address Line 2 City State ZIP Code
Address (international)*
Business sample packs shipped outside of the mainland United States will not include any isolate samples

DO NOT USE a PO box. We cannot ship isolates to an address containing a PO box. Please use a standard address or the items may not arrive to you.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Newsletter
- I would like to receive your email newsletter
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Do you have a Processing or Growers License?*
- Yes
- No
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Email
This field is for validation purposes and should be left unchanged.

Please allow 2-3 business days for our Sales team to process your request and contact you. Incomplete forms or forms submitted with inaccurate information may not receive samples.

For International and Non-Continental United States sample requests, shipping charges will apply.

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