Mariquita Medicinals bulk product request form
Do you manage or buy for a local store and want to carry Mariquita Medicinals products?
Great!
Do you run a local CSA and want to add a product to your offerings?
Lovely!

Please fill out the form below about bulk Mariquita Medicinals products. I will get back to you within 4-5 business days with current and upcoming offerings. Please allow a 2-4 week window for product request fulfillment, depending on the product. 

Thank you so much for reaching out and I hope we can work together. 

Cheers,
Flynne
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Email *
Name and pronoun *
Name of business *
Phone number *
Business address *
What Mariquita Medicinals products are you interested in purchasing in bulk? (bouquet requests are in a separate form; please see "Event and Ceremony Arrangements.") *
Required
If there are specific product blends you'd like to request, please share below (ex: Brain Boost tincture, Sipping Sunshine tea, etc)
Please enter the quantity of products you would like. *
By when would you like these products? *
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/
DD
/
YYYY
If local in PDX, would you prefer farm pick up in NE, or delivery? *
Mariquita Medicinals is a small queer and latine business that values anti-racism, collective liberation, plant-centered wellness and community-centered care. Please share more about your business and how you envision this purchase aligning with your values and the values of those you currently serve. *
If applicable, do you have a current consignment agreement for vendors you feature at your store? *
Required
Anything else you'd like to share or ask?
A copy of your responses will be emailed to the address you provided.
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