801 W. Baltimore Street | Baltimore, MD 21201

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For Wholesalers

If you are a wholesaler interested in carrying our products – great! Please complete the following information, and someone will contact you shortly!

Business Name
First Name (required)
Last Name (required)
Phone Number (required)
Email Address (required)
EIN Tax ID Number
Business Type (required)Single locationMultiple locationsDistributor
Industry (required)Smokeshop/VapeshopHealth Food StoreHealthcare ProviderChiropractorAcupuncturistFitness CenterWellness CenterOther
Address (required)
Products of InterestVaporizers/OilSublingual DropsTopicalsGumPet Products
Do you currently purchase bioRemedies MD products? (required)Yes (directly)Yes (via distributor)No
*If yes, from who?
How did you hear about bioRemedies MD?Google searchFriendSocial mediaAdvertisementOther