Contact

First Name*

Last Name*

Title/Role

Phone*

Email Address*

Company Name*

Company Website

Street Address*

Suite

City*

State*

Zip Code*

I am a NY CAURD dispensary owner and would like to purchase products (New York Cannabis License Required. Please enter below)

I am a licensed NY Cultivar that wants to sell biomass / flower (New York Cannabis License Required. Please enter below)

I am a licensed NY Processor that wants to purchase extracts (New York Cannabis License Required. Please enter below)

Enter Your New York Cannabis License Number (Required for Purchasing Products, Selling Flower/Biomass, and Purchasing Extracts )

I am interested in creating products for my brand within New York

Please select one or more of the following products:
ConcentratesFlower & Infused FlowerVapesPrerolls, Blunts & InfusedChewable Gels (Gummies)BeveragesLiquid Veggie CapsPress TabletsTincturesPackaging

I am interested in something else not listed
Please explain your interest

Do you need a custom formulation?
We need a custom formulation.We have our own formulation.

How long have you been in business?
Start-Up1 - 3 Years3 - 6 Years6 - 10 Years10+ Years

What is your company's revenue per year?*
Less than 500k500k - 1M1M - 5M5M - 12M12M+

When will you be ready to begin your project?*
ImmediatelyWithin 2 weeksWithin 1 - 3 months3+ months

How did you hear about us?

*Required Field