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Let U.S. Farmers Grow Hemp

Hemp History Week Retailer Sign Up


The 3rd annual Hemp History Week is June 4-10, 2012. I opt-in to participate in the campaign's Retailer Program. Our store(s) will be participating in the largest national grass-roots marketing and public education effort to resume hemp farming in the U.S. We will receive:

  • Exclusive deals on hemp products from campaign sponsors including Dr. Bronner's Magic Soaps, Living Harvest/Tempt, Manitoba Harvest, Nature's Path and Nutiva
  • Access to campaign materials, including social media and web content, in the Retailer Toolkit—available for electronic download at HempHistoryWeek.com/retailertoolkit
  • In-store Hemp History Week event ideas
  • My store name and url listed on www.HempHistoryWeek.com
  • Concise email communication about participation details and campaign highlights
  • Hemp History Week tees or buttons and campaign stickers

Please complete our Retailer Program application form and "Submit" to confirm your participation.
All fields listed in bold are required.

Store Name:
(Include location name if applicable)
  
Store name is required.
Distributor Name:
  Please select an item.
Store Distributor account#:
(Required so we can authorize distributor to give you exclusive campaign deals)
   Account number is required. Enter "none" if you have no account.
Store Address 1:
  
Store address is required.
Store Address 2:
  
A value is required.
City:
  
City is required.
State:
  
State is required.
Zip Code:
  
Zip Code is required. Please enter a 5 digit zip code.
Store Web Site:
  
Store Phone Number:
 
     
Store Contact Person:
(Campaign point person for your store. Kits will be shipped to this person)
  
Contact name is required.
Store Contact Title:
  
Contact title is required.
Store Email:
  
Email address is required.
Please enter a valid email address.
Store Contact Phone:
  
Is the Grocery Dept. participating?
  Yes?
Is the HABA Dept. participating?
   Yes?
Did you participate in Hemp History Week previously?
   Yes?
   
 

 

Questions about this form? Contact Doe Hatfield at doe@hemphistoryweek.com. Thank you for helping us reach our goal of 1000 participating retailers in 2012!