Phone: 888-865-3771

Wholesale Information

If you are interested in becoming a distributor for Amish Origins Medicated, please complete the form below and a company representative will contact you shortly.

For information regarding our Privacy Policy, Click here.

* Indicates a required field.

Your Information





* (ie: OH)


* (Include area code)

(Include area code)



* AlphaNumeric ONLY (MAX 10 Char.)


* Enter Security Code Shown Above

web design by OHIO Grafx LLC | Valid HTML