Account Setup Form for Retailers - TallGrass Natural Health

Company

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Thank you for your interest in opening a wholesale account with TallGrass! In order for us to get your application underway as quickly as possible, all mandatory fields must be filled out. The following application should take about 10min or less to complete and this is what you will need:

Your business contact and information
Your GST / HST / QST number if you have one and the registered business name associated with it
A copy of your professional certificate if you are a practitioner.

Have any questions? Email us at hello@tallgrass.ca or give us a call at 1-800-616-5900.

How did you hear about us?*

Canadian Health Food Association

One of our brand partners

Consumer requesting products

Sales representative

Retailer

Web search

Other

How did you hear about us - Other*

Tell us a bit about yourself and your business:*

Example: We have been in the health industry for 5 years and run a retail store for a local community in Ontario. We have 2 aisles dedicated to natural supplements and are looking to grow our offerings.

What is your primary type of business?*

Physical Retail Store

Licensed Health Care Professional

E-Commerce exclusively

Location Type*

Health Food

Grocery

Pharmacy

Spa / Salon

Fitness facility

Other

Location type - Other*

Physical Retail space square footage*

Are you part of a chain or franchise group?*

Yes

Chain or Franchise*

Chain

If your head office has an existing account with TallGrass, please contact them directly to add your location to our ordering system.
If you are a new chain to TallGrass, please make sure the head office proceeds with the application so we can set you up.

Franchise

Are you a member of the Health First Network?*

Yes

Which company are you affiliated with?*

Full-time staff dedicated to natural health?*

Yes

Type of Licensed Health Care Professional

DTcM

Clinical Herbalist

DHom

Other

Type of Licensed Health Care Professional - Other

Business Operation type*

Clinic

Private practice

Home-based business

Are you partnered with any dispensing platforms?*

Yes

Which one(s)?

ie. FullScript

Copy of your Professional Health Care Credentials*

Please upload a copy of your professional certificate in the box below

Accepted file types: jpg, jpeg, gif, png, pdf, , Max. file size: 10 MB.

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Health Care Credentials file name in HS

Do you have a supporting website?*

Yes

Website*

Do you sell online?*

Yes

Ecommerce contact name*

Ecommerce contact email*

Do you sell on Amazon?*

Yes

Amazon storefront (enter up to 5)**

Please start with "https://www.amazon.ca/stores/" or "https://www.amazon.ca/shops/"

Do you have social media accounts?

Yes

Social handle

Facebook handle:

Instagram handle:

Other:

Which of our retail brands are you interested in carrying? (Please check all that apply)*

Ancient Nutrition

ANNEMARIE BÖRLIND

Botanica

Capricare

Enzymedica

HerbaSanté / Alterra

Host Defense

Manuka Health

MegaFood

Naturtint

Nordic Naturals

Sukin

Wild Rose

Estimated purchase amount per month:*

< $500

$500 to $1000

$1000 to $2000

over $2000

Which of the following brands do you currently carry? (Please check all that apply)*

Flora

Sisu

Natural Factors

Platinum

Progressive

Prairie Naturals

New Roots

Lorna Vanderhaeghe

Enerex

Jamieson

Webber Naturals

Swiss

Garden of Life

AOR

New Chapter

Thorne

Metagenics

Pure Encapsulations

Douglas Labs

Other

Which of the following brands do you currently carry? - Other*

CONTACT AND COMMUNICATION INFORMATION

Company Name:*

Main contact

Name*

First Last

Email*

Phone*

Fax

Do you have a GST/HST/QST Number?*

GST

HST

QST

N/A

GST/HST/QST Number*

(For GST/HST, please enter 9-digit number. For QST, please enter 10-digit number. The number is followed by by “RT0001” or “RT0002”.)

Registered Business Name (must match GST registration):*

PST Number (if applicable):

Example: 12345678

Avez-vous un numéro TPS/TVH/TVP?*

Yes

Numéro TPS/TVH/TVP*

(numéro à 9 ou 10 chiffres, parfois suivi des lettres « TQ » et de 4 chiffres. Exemple: 123456789 TQ0001. Merci d’indiquer seulement les chiffres):

Nom de l’entreprise telle qu’inscrite au registre (doit correspondre au numéro TPS/TVH/TVP):*

Numéro TVQ (si disponible):

SHIPPING INFORMATION

Address*

Street Address City Province Postal Code

Contact (if different from main contact):

Name

Phone

Fax

BILLING INFORMATION

Billing address is the same as shipping

Address*

Street Address City Province Postal Code

Billing accounting contact is the same as shipping

Accounting Contact Name*

Accounting Contact Email*

Accounting Contact Phone*

Almost there! Please read through our TallGrass Policies, initial each page and sign, and click “SUBMIT APPLICATION”!

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Company Policy Link (Expires in 7 days)

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Company Policies Document ID

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TG company policies sign up activity*

CLICK HERE TO SIGN OUR COMPANY POLICIES

Our Company Policies will open in a new window.
Come back to this page and check the checkbox below to submit your application once initialed and signed!

Is Company Policies Document signed*

I agree to the company policies and I have initialed and signed them.

Don't forget to come back to this page to submit your application,
or your information will be lost.😞

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