Distributor Program

Brand Connect Program Form

Submit a qualified referral through the official program form.


Before you submit

Read the agreement first

Review the Brand Connect Program Agreement before using this form so expectations, eligibility, and participation rules are clear.

View agreement


Referral form

Complete the official submission

Please fill out the form below. A representative from Botanic Biosciences will follow up as appropriate.


Referrer Information

Your Name
Your Email

Business Lead Information

The Brand Connect Program is built on trusted relationships and intentional introductions. Please submit only contacts you personally know and have already engaged regarding the program. This form is not intended for cold prospecting.
Business Owner Name
Business Owner Email
Confirmation Acknowledgement
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This website uses Secure Online Age Verification for all hemp products. We provide an easy checkout experience while following the latest age regulations. We match customer information from your checkout form against our identity networks to verify that you meet minimum age requirements. Our hemp-derived products are compliant with the 2018 Federal Farm Bill, containing less than 0.3% delta-9 THC by weight. All products are lab-tested for quality and compliance with legal standards. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Always consult your physician before starting any wellness regimen. This content is for informational purposes only. It is not intended to take the place of medical advice or treatment from a personal physician. All readers of this content should consult their physician or qualified healthcare professional regarding specific health questions, especially those taking prescription or over-the-counter medications. We do not take responsibility for possible health consequences of any person reading and/or following this informational content. Income is not guaranteed. Earnings depend on individual effort and sales performance. Success stories are unique, and results vary depending on individual effort. All prices are in USD. Secured with TLS encryption. Botanic is a USA company that provides plant-based wellness products.

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