Wholesale Account Inquiry Form

Wholesale Account Inquiry
Business Name:*
Business Phone:*

Area CodePhone Number
Business E-mail:*
Website:
In order to become a Wholesale Client we require a minimum of $35 per order 3x a week (a value of $105 weekly) Will this account adhere to this requirement?*

YesNo
Type of Business:*

CafeRestaurantDeliFood TruckHotel
How many locations? :
Interested in:

Pastry ProductsBread ProductsBoth (Bread and Pastry Products)
Delivery Days Preffered:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Customer Contact
Full Name*

First NameLast Name
Position
(Owner, Manager, Food & Beverage Director Etc.)
Phone Number*

Area CodePhone Number
If you have additional details to share, please let us know!

0/500
Should be Empty:

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Wholesale Account Inquiry