Wholesale Request ~ FarmacyCo

Registration

Username*

Email*

Password*

Customer billing address

First Name *

Last Name *

Company *

Address line 1 *

Address line 2 (optional)

City*

Postcode / ZIP *

State / County or state code (optional)

Phone *

Customer shipping address

Copy from billing address

First Name *

Last Name *

Company *

Address line 1 *

Address line 2 (optional)

City *

Postcode / ZIP *

State / County (optional)

ABN *

We love sending our beautiful products out to retail stores, wellness clinics and anyone else with a business that aligns with us.

Like to stock our products in your business?

Please register with the form and we will get back to you with your login details and our T&C’s regarding MOQ, Pricing and Delivery details.