Wholesale Application Form

Thank you for your interest in setting up a wholesale purchase account. Please complete the following form and we will contact you shortly.

Please note that we may ask for additional information to complete your application.

Business Name:

Contact Name:

First Name

Last Name

Title:

Please select a title that most closely describes your ability to act on behalf of your business. If your position is not listed, please complete the Title Blank below.

Title:

Phone

(###)

###

####

Email

Website or Socials

http://

Business Type:

(e.g. gift shop, coffee shop, bakery, grocery store)

Business Tax ID# or Business Number

Address where you will be selling/using our products:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tell us more about your business:

Do you celebrate Locally Made products in your store?

Estimated monthly order volume (unit)

How did you hear about Round Box Foods?