North Valley Food Hub Buyer Application
Business Name
*
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Accounting/Financial Contact (If different than above)
Accounting/Financial Email (If different than above)
example@example.com
Accounting/Financial Phone Number (If different than above)
Please enter a valid phone number.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If your physical location is different than mailing address, please add that here
What kind of products are you hoping to purchase through the Food Hub?
Please share a brief description of your business or organization
Please share your website and and social media handles you have
We want to promote our partners! Please upload your logo and up to two more photos we can use when promoting you!
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