Wholesale Account Inquiry

How Long has your company been operating? *
Years / months
Does your company have a pysical retail store ? *
Location of Brick and Mortar Physical store if applicable
What type of products or services does you company provide ? *
eg: Groceries, specialty gifts, health foods, food specialty, wholesaler ...etc
Is your company currently working with another honey or jam suppliers? If so who ? *
Name of current supplier
Is your company looking only for wholesale pricing? Or to open a credit account? *
We may contact you for fruther information for credit references

Agreement

(By checking these boxes you are agreeing to our terms - should you have any questions please contact us at info@mellona.ca )
Agreement and Terms *

I understand that Mellona Products Inc. Reserves the right to offer wholesale to any customer. I understand that my Wholesale pricing and status may be revoked anytime by Mellona Products.
Agreement and Terms *

By clicking here I understand that I will be contacted by Mellona Products for further information regarding Wholesale account set up.
Digital Signature Name *

First Name Last Name
Digital Signature Date *

Month Day Year
Should be Empty:

Business Info