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Vendor Intake Form 
 Business Details Brand Name: _______________________________________________
 Distribution Partner: _______________________________________________ Address of Operations: ________________________________________ City: ______________

Zip: _____________________________________

Brand Representative Details Name: _____________________________________ Phone: _____________________________________ Email Address: ______________________________ Website: __________________________________________________ Brands You Represent: _____________________________________ _____________________________________ _____________________________________ _____________________________________ 
 Instagram handle(s): _____________________________________ Facebook page(s):

_____________________________________


About Your Products What sets your Company apart in the Industry?

What is Your Wholesale Cost?



Seller Compliancy I am fully permitted to sell Recreational Cannabis in San Jose Please enter your license number: ___________________________

Product Pull-through Are you available to train our Team on Thursdays 3pm-4pm? Yes

No

Other day and time available:


Do you support Customer Education events (Socials)? Yes

No

What purchase incentive do you offer during your Social? Which days and times are you available to host a Social? Sunday Monday Tuesday Wednesday Thursday
 Friday 4-7pm is our optimal event time.
 Saturday
 Do you offer NON-MEDICATED samples for on-site consumption? San Jose does not allow on-site consumption of cannabis. On-site consumables must be cannabis-free.

Yes

No

Vendor Intake Form  
Vendor Intake Form  
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