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Apply to Become a Distributor or Re-seller of The Honest Worm!
Application to Resell/Distribute The Honest Worm!
Complete and Submit the Entire Application.
Full Name
Email*
Company Name
Address
City
State
Zip
Phone Number
Country
Are you a Distributor, Reseller, or Wholesaler
Distributor
Reseller
Wholesaler
What Markets Do You Currently Serve
Backyard Chickens
Reptile
Wild Birds
Do You Currently Sell Mealworms?
Yes
No
How Many Bags Do You Sell Per Month
0-20
21-50
51-100
100+
Why do you want to sell The Honest Worm?
Please verify your request*
Submit
