Wholesale Account Request

Fill out the form below to submit your request for access to Wholesale Purchasing.

    First + Last Name



    Number of Locations

    Business Type

    Store Website

    Tax ID

    Email Address


    Business Address

    Have you tried The Amazing Chickpea before?

    How will you retail The Amazing Chickpea?

    How did you hear about us?

    If you have purchased our products before and have an account on theamazingchickpea.com, what is your username? [If not, we'll create one for you]