{"id":4586,"date":"2026-01-13T15:15:45","date_gmt":"2026-01-13T20:15:45","guid":{"rendered":"https:\/\/kushstar.ca\/?page_id=4586"},"modified":"2026-04-01T13:37:00","modified_gmt":"2026-04-01T17:37:00","slug":"wholesale-application","status":"publish","type":"page","link":"https:\/\/kushstar.ca\/fr\/wholesale-application","title":{"rendered":"Application de vente en gros"},"content":{"rendered":"<section class=\"bde-section-4586-100 bde-section\">\n  \n  \n\t\n\n\n\n<div class=\"section-container\"><h1 class=\"bde-heading-4586-102 bde-heading\">\nWholesale Application\n<\/h1><div class=\"bde-form-builder-4586-101 bde-form-builder\">\n\n<form id=\"wholesale-application-form\" class=\"breakdance-form breakdance-form--vertical\" data-options=\"{&quot;slug&quot;:&quot;custom&quot;,&quot;name&quot;:&quot;Wholesale Application&quot;,&quot;ajaxUrl&quot;:&quot;https:\\\/\\\/kushstar.ca\\\/wp-admin\\\/admin-ajax.php&quot;,&quot;clearOnSuccess&quot;:true,&quot;hideOnSuccess&quot;:true,&quot;successMessage&quot;:&quot;Your message has been received!&quot;,&quot;errorMessage&quot;:&quot;Something went wrong&quot;,&quot;redirect&quot;:false,&quot;redirectUrl&quot;:&quot;\\\/&quot;,&quot;customJavaScript&quot;:&quot;&quot;,&quot;recaptcha&quot;:{&quot;key&quot;:&quot;6LcLwi8sAAAAAFSR-0cnih7fJipq1diCXbJ9RvIV&quot;,&quot;enabled&quot;:true},&quot;honeypot_enabled&quot;:true,&quot;popupsOnSuccess&quot;:[{&quot;popup&quot;:&quot;4639&quot;,&quot;action&quot;:&quot;open&quot;}],&quot;popupsOnError&quot;:[]}\" data-steps=\"0\" >\n  \n  \n  \n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_company\">\n            Business Name<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_company\"\n    aria-describedby=\"billing_company\"\n    type=\"text\"\n    name=\"fields[billing_company]\"\n    placeholder=\"Your Awesome Company\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"tax_id\">\n            CRA Business Number\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"tax_id\"\n    aria-describedby=\"tax_id\"\n    type=\"text\"\n    name=\"fields[tax_id]\"\n    placeholder=\"111222333444\"\n    value=\"\"\n                \n        \n        \n    \n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_first_name\">\n            First Name<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_first_name\"\n    aria-describedby=\"billing_first_name\"\n    type=\"text\"\n    name=\"fields[billing_first_name]\"\n    placeholder=\"First Name\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_last_name\">\n            Last Name<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_last_name\"\n    aria-describedby=\"billing_last_name\"\n    type=\"text\"\n    name=\"fields[billing_last_name]\"\n    placeholder=\"Last Name\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--tel\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_phone\">\n            Phone Number<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_phone\"\n    aria-describedby=\"billing_phone\"\n    type=\"tel\"\n    name=\"fields[billing_phone]\"\n    placeholder=\"x (xxx) xxx-xxxx\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--email\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"email\">\n            Email<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"email\"\n    aria-describedby=\"email\"\n    type=\"email\"\n    name=\"fields[email]\"\n    placeholder=\"contact@email.com\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--html\" >\n    \n    \n    \n    <div class=\"form-input-html\"\n    >\n  <h2>Billing Address<\/h2>\n<\/div>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_address_1\">\n            Address Line 1<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_address_1\"\n    aria-describedby=\"billing_address_1\"\n    type=\"text\"\n    name=\"fields[billing_address_1]\"\n    placeholder=\"1234 Avenue Lane\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_address_2\">\n            Address Line 2\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_address_2\"\n    aria-describedby=\"billing_address_2\"\n    type=\"text\"\n    name=\"fields[billing_address_2]\"\n    placeholder=\"Unit 3\"\n    value=\"\"\n                \n        \n        \n    \n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_city\">\n            City<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_city\"\n    aria-describedby=\"billing_city\"\n    type=\"text\"\n    name=\"fields[billing_city]\"\n    placeholder=\"\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_state\">\n            Province<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"billing_state\"\n    name=\"fields[billing_state]\"\n    required\n    \n        >\n      <option value=\"\">Select...<\/option>\n          <option value=\"AB\" >Alberta<\/option>\n        <option value=\"BC\" >British Columbia<\/option>\n        <option value=\"MB\" >Manitoba<\/option>\n        <option value=\"NB\" >New Brunswick<\/option>\n        <option value=\"NL\" >Newfoundland<\/option>\n        <option value=\"NT\" >Northwest Territories<\/option>\n        <option value=\"NS\" >Nova Scotia<\/option>\n        <option value=\"NU\" >Nunavut<\/option>\n        <option value=\"ON\" >Ontario<\/option>\n        <option value=\"PE\" >Prince Edward Island<\/option>\n        <option value=\"QC\" >Quebec<\/option>\n        <option value=\"SK\" >Saskatchewan<\/option>\n        <option value=\"YT\" >Yukon<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"billing_postcode\">\n            Postal Code<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"billing_postcode\"\n    aria-describedby=\"billing_postcode\"\n    type=\"text\"\n    name=\"fields[billing_postcode]\"\n    placeholder=\"\"\n    value=\"\"\n                \n        \n        \n    required\n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--html\" >\n    \n    \n    \n    <div class=\"form-input-html\"\n    >\n  <h2>Other Information<\/h2>\n<\/div>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"tax_exempt\">\n            Are you tax exempt?<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"tax_exempt\"\n    name=\"fields[tax_exempt]\"\n    required\n    \n        >\n      <option value=\"\">Select...<\/option>\n          <option value=\"yes\" >Yes<\/option>\n        <option value=\"no\" >No<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"business_type\">\n            Business Type<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"business_type\"\n    name=\"fields[business_type]\"\n    required\n    \n        >\n      <option value=\"\">Select...<\/option>\n          <option value=\"Dispensary\" >Dispensary<\/option>\n        <option value=\"Retailer\" >Retailer<\/option>\n        <option value=\"Distributor\" >Distributor<\/option>\n        <option value=\"Other\" >Other<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"monthly_volume\">\n            Estimated Monthly Order Volume:<span class=\"breakdance-form-field__required\">*<\/span>\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"monthly_volume\"\n    name=\"fields[monthly_volume]\"\n    required\n    \n        >\n      <option value=\"\">Select...<\/option>\n          <option value=\"Under $500\" >Under $500<\/option>\n        <option value=\"$500-$1000\" >$500-$1000<\/option>\n        <option value=\"$1000-$5000\" >$1000-$5000<\/option>\n        <option value=\"Over $5000\" >Over $5000<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--select\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"referral_source\">\n            How did you hear about Kushstar?\n        <\/label>\n    \n    <select\n    class=\"breakdance-form-field__input\"\n    id=\"referral_source\"\n    name=\"fields[referral_source]\"\n    \n    \n        >\n      <option value=\"\">Select...<\/option>\n          <option value=\"search_engine\" >Search Engine (Google, Bing, etc)<\/option>\n        <option value=\"llm_chatbot\" >AI Chatbot (ChatGPT, Claude, etc)<\/option>\n        <option value=\"facebook\" >Facebook \/ Instagram<\/option>\n        <option value=\"friend_referral\" >From a Friend<\/option>\n        <option value=\"other\" >Other... (please enter below)<\/option>\n  <\/select>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--text\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"other_referral\">\n            Other Referral:\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"other_referral\"\n    aria-describedby=\"other_referral\"\n    type=\"text\"\n    name=\"fields[other_referral]\"\n    placeholder=\"\"\n    value=\"\"\n                data-conditional-field-id=\"referral_source\"\n            data-conditional-value=\"other\"\n        data-conditional-operand=\"equals\"\n\n                \n        \n        \n    \n    \n    \n    \n>\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--checkbox\" >\n    \n    \n    \n    <fieldset role=\"group\"\n    aria-label=\"I agree to the Wholesale Terms & Conditions\"\n    >\n       <legend class=\"breakdance-form-field__label\">I agree to the <a href=\"\/wholesale-toc\/\">Wholesale Terms & Conditions<\/a><span class=\"breakdance-form-field__required\">*<\/span><\/legend>\n          <div class=\"breakdance-form-checkbox\">\n          <input\n              type=\"checkbox\"\n              name=\"fields[accept-terms]\"\n              value=\"yes\"\n              id=\"accept-terms-1\"\n              \n                        >\n          <label class=\"breakdance-form-checkbox__text\" for=\"accept-terms-1\">Yes<\/label>\n      <\/div>\n  <\/fieldset>\n\n\n\n    \n    \n<\/div>\n\n\n<div class=\"breakdance-form-field breakdance-form-field--hpinput\" >\n    \n    \n            <label class=\"breakdance-form-field__label\" for=\"hpname\">\n            HP Name\n        <\/label>\n    \n    <input\n    class=\"breakdance-form-field__input\"\n    id=\"hpname\"\n    aria-describedby=\"hpname\"\n    type=\"hpinput\"\n    name=\"fields[hpname]\"\n    placeholder=\"\"\n    value=\"\"\n                \n        \n        \n    \n    autocomplete=\"off\"\n    tabindex=\"-1\"\n    \n>\n\n\n    \n    \n<\/div>\n\n\n  \n\n<div class=\"breakdance-form-field breakdance-form-footer\">\n    \n    \n                                    \n    \n    \n    \n    \n            \n            <button type=\"submit\" class=\"button-atom button-atom--primary breakdance-form-button breakdance-form-button__submit\"  >\n    \n        <span class=\"button-atom__text\">Submit<\/span>\n\n        \n        \n            <\/button>\n    \n    <input type=\"hidden\" name=\"form_id\" value=\"101\">\n    <input type=\"hidden\" name=\"post_id\" value=\"4586\">\n<\/div>\n\n  \n<\/form>\n\n\n<\/div><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Wholesale Application Business Name* CRA Business Number First Name* Last Name* Phone Number* Email* Billing Address Address Line 1* Address Line 2 City* Province* Select&#8230; Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code* Other Information Are you tax exempt?* Select&#8230; Yes No [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"class_list":["post-4586","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/pages\/4586","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/comments?post=4586"}],"version-history":[{"count":38,"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/pages\/4586\/revisions"}],"predecessor-version":[{"id":5220,"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/pages\/4586\/revisions\/5220"}],"wp:attachment":[{"href":"https:\/\/kushstar.ca\/fr\/wp-json\/wp\/v2\/media?parent=4586"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}