Seed Vendor Profile Step 1 of 4 25% Let's start with some basic details about your company.Business Name* Business Phone (Primary)*Business Phone (Secondary)*Business E-mail* Business Fax*Corporate Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Point of Contact (POC) for this application* First Last POC Title* POC Phone*POC Email* Is your company licensed under a state, tribal, or federal hemp program?* Yes No Which state(s) does your company maintain a license?*StateLicense Number In what year did your company open?* In what year did your company begin breeding hemp seeds?* Help us better understand what our members can expect from your company if they choose to purchase your seedDo you provide any form or replant/replacement agreement if seeds fail?* Yes No What is the maximum percent of seeds you will replace if a valid claim is made?* Under what condition(s) will you replace seeds?*Under what condition(s) would you NOT replace seeds?*Do you have a price sheet?* Yes No Upload price sheet (pdf only)*Accepted file types: pdf, Max. file size: 10 MB.Does the company or any of its partners/owners have any ownership interest in the lab(s) providing testing services?* Yes No What percent of the lab is owned by the seed company/owner(s)?* Is lab testing done in-house?* Yes No If Texas Hemp Growers runs varietal trials throughout the state, would your company be interested in participating?* Yes No How do you store your seeds before they are sold to market?*How do you package your seeds when delivering them to a client?*What delivery service(s) do you use when sending seeds to a client?*Do you assign a unique identifier to track each plant or clone from which seed is produced?* Yes No Are seeds organized by batch or lot number?* Yes No Can each seed be traced back to its source plant?* Yes No Consent* I am authorized to submit this application on behalf of the company and attest that the information provided is accurate to the best of my knowledgeName of person completing this form* First Last NameThis field is for validation purposes and should be left unchanged.
