Wholesale Application Form

Looking to Partner With Cinis?

Please fill out the application below & submit. We will contact you within 48 hours. Feel free to reach out at eatcinis@gmail.com or 1.800.458.556.
Name of Business

Legal NameDBA or AKA
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Owner Full Name:
RestaurantBarDistributorCatererRetailerOther
Number of Employees (So we know how many samples to send!)*
YesNo
Yes (please attach)No
Resale Certificate or Tax ID*

Cancelof
12-56+
Under $500$500–$1,500$1,500–$5,000$5,000+
Traditional CinisMac & Cheese Cinis
Tell us a bit about your business and how you plan to offer Cini's:
Any special requests or questions?
How did you hear about us?*
Signature
Date

MonthDayYear
Date
Terms & Conditions: All information collected is confidential. No payment information is kept on file, all invoices are able to be paid online through a secure site (if paying by cheque, please let us know). First order is payable immediatley, all orders after are on 30 days terms from receipt of product.
Should be Empty: