Company Name

Business Type
CorporationLLCPartnershipSole Proprietor

Website

Business Address

Country (if not in the USA)

Years in Operation

Primary Contact Name

Primary Contact Email

Phone

🔹 ORDER INTEREST

What product formats are you interested in?
Powder (Bulk Raw)Unbranded tabletsBoth

Estimated Monthly Order Volume:
under 1,000 units1,000-5,000 units5,000-10,000 unitsover 10,000 units

Are you currently working with other 7-Hydroxy suppliers?
YesNo
If yes, please list (optional):

Do you need formulation or blending services?
YesNoPossibly - Want to learn more

🔹 BRANDING & LABELING

Are you creating a new brand or adding to an existing one?
New BrandExisting Brand

🔹 LOGISTICS & DELIVERY

Preferred Shipping Method:
FreightAirLocal Pickup (if applicable)

Do you have a freight forwarder or logistics partner?
YesNo

Delivery Location (if different from above):

🔹 REGULATORY & COMPLIANCE

Do you require Certificates of Analysis (COAs)?
YesNo

ADDITIONAL INFORMATION OR REQUESTS (optional)