Wholesale Form

If you are interested in purchasing products as a wholesaler, please fill out the Wholesale Form below. Our sales representative will contact you with information as soon as possible. Thank you for your interest!

* Required information

*Company Name:	Business Type:
*First Name:	*Last Name:
*Address 1:	Address 2:
*City:	*State:
*Zip Code:	*Country:
*Phone #:	Fax #:
*Email Address:	How did you hear about us?:
Products you are interested in:
Shizuoka Green Tea - Loose	Shizuoka Green Tea - Teabag
Green Breeze Organic Green Tea Powder	Nori
Commnets: