Become a Retailer -
New Account Application

Are you interested in selling Paradise Herbs & Essentials products through your practitioner’s office, retail establishment, or website? Paradise Herbs & Essentials would love to partner with you and help you provide the very best products to your customers. Please fill out the form below to get started!

Account Name*
Type of Account*
- Retail Store
- Physician/Practioner
- E-Commerce/Online
Address*
Shipping Address City State ZIP
Phone*
Fax
Email*
Contacts
Website (Required for online retailers)
Tax ID #*
Seller’s Permit #*
Email
This field is for validation purposes and should be left unchanged.

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*These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

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