Vendors — Green Gnome Holistics

Name

First Name

Last Name

Email

Were you referred by someone? If so, who?

Caregiver ID/ MMMP Card

Name of Company/Companies

Please share a bit about your cannabis growing/business values

Website

Please enter N/A if you do not have a website

http://

Products & Pricing

Please list products, or the link to your website. You may also email a PDF to greengnomeholistics@gmail.com. Please be sure to say that you have completed this form. (:

Do you have your own storefront?

Yes

No

What other storefronts are your products in?

Please enter N/A if none

Interested in vending with Green Gnome Holistics?

NOTE: this form is required for all new vendors. Vendors are seen by appointment only.

Hours

Contact

112 Ocean Street South Portland ME