New Wholesale Account Set Up

New Wholesale Account Set Up

This form needs to be filled out and signed by an authorized member/owner/or executive manager of the company.
Legal Company Name*
DBA*
WEBSITE*
Tax ID*
Name of person filling out this application.*

First NameLast Name
Title*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address- if different from above.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Delivery Method*
Delivery Instructions
Phone*
Please enter a valid phone number.
Email*
example@example.com
Desired Terms - Credit Application will be required for anything other than COD*
Sales Tax

If you qualify for sales tax exemption, please upload a copy of your completed sales tax exemption form. A copy of this form can be found at https://www.michigan.gov/documents/taxes/3372_216612_7.pdf
Sales Tax Exempt Form Upload

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Advertising - Optional

We want to help promote all of our customers. If you'd like to provide us with a copy of your logo and your social media handles we'll be happy to add you to our ice cream locator and cross-promote on social media.
Facebook page
Instagram handle
Logo upload

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Your Comments
Are you a seasonal business*
E-Signature*
Should be Empty: