WHOLESALE ACCOUNT FORM

WHOLESALE ACCOUNT FORM

Interested in serving Leap Coffee in your cafe / business? Fill out the form below!
BUSINESS NAME:
DBA (IF DIFFERENT FROM BUSINESS NAME):
If applicable - otherwise, type "N/A"
RESELLER'S PERMIT:
If applicable - otherwise, type "N/A"
PHYSICAL ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PRIMARY CONTACT:

First NameLast Name
CONTACT NUMBER:
Please enter a valid phone number.
CONTACT EMAIL:
example@example.com
PRODUCT USE:

ResaleOfficeCateringOther
ESTIMATED COFFEE NEED PER WEEK:

Less than 10 pounds10 - 20 pounds20 - 40 pounds40 pounds or moreOther
PREFERRED DELIVERY METHOD:

Pick UpShipped (USPS)Delivery
TELL US WHY YOU LOVE LEAP COFFEE!:
Why do you want to serve our coffee? How did you come to find us? We can't wait to hear your Leap story!
ANYTHING ELSE WE SHOULD KNOW?
Are there specific coffee origins you're interested in? What brewing methods do you plan to serve? Let us know!
Thank you for your interest in a wholesale partnership with Leap Coffee!
We are so excited to play a part in your coffee journey.
Someone will be in touch soon to continue this conversation!

To follow up on your inquiry, please email info@leap.coffee or call 760-448-6167

STAY CAFFEINATED, LEAP FAM!
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