WishGarden Herbs :: New Account Sign-Up


* Indicates a required field
For multi-store chains, please provide a corporate address and contact info here, and include with your application a list of stores with their shipping address, phone number, email address (if applicable), and store contacts.

Business Name*

Primary Email*

Primary Phone*

Company Website*
Facebook page is accepted if you do not have a company website


Shipping Address
 
Care of Address* City* State* Zipcode*


Contacts


General Contacts
Name
Job Title
Phone
Email
Name
Job Title
Phone
Email
Name
Job Title
Phone
Email


Billing Contact*
Name
Job Title
Phone
Email
Name
Job Title
Phone
Email


Billing Info

Terms*
If applying for Net 30 terms, please print and fill out a copy of our credit application form and include it with your application.

Billing Address
 
Care of Address City State Zipcode


Retailer Info

Channel*
Account Type*
Membership


Policies
For your reference, please download the appropriate vendor policies for your type of business:


Uploads

Please include the following documents with your application:
  • List of stores, for multi-store retailers
  • Your retailer policies, for our records (optional)
  • Business license, practitioner license, and/or certification (required)
  • State sales tax ID