Bulk Chaga Order Form

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Please complete the form below so we can best assist you.

Full Name *

Email Address *

Company Name and Industry (if applicable)

Please indicate how you’d like to proceed
*

I have an inquiry and/or would like to see a price list

I'm ready to place an order, please send me a proposal

Please provide a full or partial shipping address
*

Select your preferred grind(s) of Chaga
*

Nuggets (small chunks)

Tea Cut (coarse powder)

Powder (fine powder)

Required

Please indicate your desired quantity in pounds (minimum of 25 lbs)
*

Additional Comments or Questions

Thank you for your interest, we will get back to you as soon as possible.

Hours of Operation

Monday to Friday: 8 am – 5 pm EST

Saturday: Closed

Sunday: Closed

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