Hidden fields Become a Retailer Wholesale Account Application Interested in carrying our products? Fill out the application below to apply for a retail partner account. Our team will review your submission and verify your license. Approval time: 1–3 business days 1. Store Information Retail Store Name Doing Business As (DBA) WA Cannabis Retail License Number License Expiration Date 2. Store Location Store Address City ZIP Code 3. Primary Contact Full Name Position / Title Email Address Phone Number 4. Buyer Information Skip if same as primary contact Buyer Name Buyer Email Buyer Phone 5. Business Details Years in Business Select oneNew store1–2 years3–5 years5+ years 6. Product Interest Select all that apply FlowerPre-RollsVape CartridgesConcentrates 7. Store Branding Optional – helps us feature your store in promotions and partner listings Upload Store Logo Store Tagline / Slogan 8. Store Website & Social Media Optional – helps us promote your store Store Website Instagram Facebook Other Social Media 9. Marketing & Promotion Consent We allow our store to be listed on your Retailer Locator We allow our store logo and name to be used in product announcements, social media promotions, and brand partner spotlights We are interested in participating in in-store pop-ups, brand demos, and promotional events 10. Compliance Confirmation Our store holds a valid Washington cannabis retail license We comply with all regulations from the Washington State Liquor and Cannabis Board 11. Retailer Agreement I confirm this business is a licensed cannabis retailer in Washington State and that the information provided is accurate. Authorized Representative Name Title / Position Date help@greenandgold.info Social-instagram-circle © Copyright 2026 Green & Gold Brands