Wholesaler Request Sample

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Wholesaler Request Sample - Longan

Dear Wholesale Support Team,

I have a wholesale account with Dragon Herbs.

I would like to request a full-size Longan 6 oz. (SKU#698) in the NEW foil pouch. Please mail the complimentary sample to the following account and address.

*Wholesale Account Name:

Wholesale Account Number:

Attention to

*First Name:

*Last Name:

Company / Mailing Address

*Address:

*City:

*State:

*Zip Code:

*Phone:

*Email:

*Message:

Fields marked with * must be filled in.

Yes, I would like to receive special product/service offers by Dragon Herbs based on the interests specified.

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