Wholesale Application Form

Please complete the application form below to become a HempFarm Stockist.

Wholesale Application

Client Information

Business type
How did you find out about our Wholesale Application: *

Personal Details: (please complete if you are an individual)

Business Details (please complete if you are a Sole Trader, Trust, Partnership, Company or Other)

Directors / Owners / Trustee:

Trade Refrences

* Excludes utilities, lawyers, accountants, or banks


I certify that the above information is true and correct and that I accept the supply of credit by Hemp Farm (if applicable). I have read and understand the TERMS AND CONDITIONS OF TRADE (overleaf or attached) of Hemp Farm New Zealand Limited T/A Hemp Farm which form part of, and are intended to be read in conjunction with this Client Information Form and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein. I agree that if I am a director/shareholder (owning at least 15% of the shares) of the Client I shall be personally liable for the performance of the Client’s obligations under this contract.

Terms & Conditions *
  • All invoices are to be paid on the 20th of the month following the date of invoice.
  • Any claims arising from invoices must be made within seven working days of receipt of invoice.
  • By submitting this application, you authorise HempFarm NZ Ltd to make inquiries into the banking and business/trade references that you have supplied.
Read Terms & Conditions