NEW VENDOR PACKET
Please fill in the form below.
Please Note:
Due to the high volume requests, please allow 2-3 weeks for processing and response.
Name of Company or Farm
*
CONTACT INFORMATION
Primary Contact
*
Primary Contact Phone Number
*
-
Area Code
Phone Number
Primary Email Address
*
example@example.com
Vendor Remittance Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Make Checks Payable To:
*
Invoices are paid within negotiated terms. In the event a payment is missed, it is the responsibility of the vendor to follow up within 90 days of the missed payment for correction. After 90 days we are unable to verify the delivery and quality.
What type of product do you produce?
*
produce
eggs
poultry
pork, beef, goat, and/or lamb
grocery product
Type of Grocery Product
grocery item (food/beverage related)
dairy
non food (ex. dryer balls, pest control, etc.)
beauty/personal hygiene product
supplement (ex. elderberry, gaia, etc.)
cleaning supplies
other merchandise (towels, cards, etc.)
Is your product made/grown/produced on a farm
yes
no
GROCERY PRODUCT INFORMATION
Is the product organic?
*
yes
no
Is the product local?
*
yes
no
Do you use local ingredients?
*
yes
no
Where do you source your ingredients?
*
Please check if your product contains any of the following ingredients:
*
artificial food coloring
artificial flavor
high fructose corn syrup
hydrogenated or partially hydrogenated oils
titanium dioxide
commodity or factory farm meat
bht
none of the above
Where is the product made?
*
Upload your business license
*
Browse Files
Cancel
of
Do you make your product in a DHEC certified kitchen?
*
yes
no
Upload your most recent DHEC inspection.
Browse Files
Cancel
of
Upload your SCDA Wholesale License.
*
Browse Files
Cancel
of
Kitchen Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list any certifications:
Tell us about your product:
*
What makes it unique:
*
Please list website address for your product if applicable:
Please list any social media handles:
Please list wholesale pricing and information
*
Please list or upload your nutritional or supplemental facts:
Nutritional or supplemental facts:
Browse Files
Cancel
of
Please list or upload your ingredient list:
*
Ingredient list:
Browse Files
Cancel
of
Please upload a picture of your product
*
Browse Files
Cancel
of
FARM INFORMATION
Farm Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
Owned or Leased?
Owned
Leased
# of TOTAL Acres
# of Acres Currently Under Production
# of Acres of Potential Production
# of Irrigated Acres
Type of Water
Well Water
Surface Water
Other
PRODUCE INFORMATION
What crops do you grow or have the potential to grow? Designate if heirloom or Non-GMO.
*
Describe your growing practices:
*
Do you sell anything you don't grow?
*
YES
NO
If YES, please list items:
If YES, please provide contact for grower:
How do you manage pests? List any applicable insecticides.
*
How do you manage weeds? List any applicable herbicides.
*
How do you manage disease? List any applicable fungicides.
*
How do you support fertility?
*
Manure
Compost
Organic Fertilizer
Non-organic Fertilizer
Cover Crops
Other
EGG INFORMATION
What breed are your laying birds? List all that apply.
*
Approximately what size flock do you maintain?
*
What type of outdoor access do the hens have?
*
chicken tractor (enclosed, movable, spacious coop with no floor)
open pasture (fenced or unfenced, only kept indoors at night)
enclosed chicken houses, no outdoor access
Other
What is the roaming square footage per bird?
*
Describe the hens' diet:
*
If grain feed is provided to hens, is it (select all that apply)
*
not applicable
certified non GMO
certified organic
soy free
corn free
conventional
Other
How many eggs are available each month?
*
Do you resell any eggs from birds not raised on your farm?
*
YES
NO
If YES, please list all applicable farms and contact information.
What is your direct to customer price per dozen? (on farm, at markets, etc.)
*
What is your desired wholesale price per dozen?
*
POULTRY INFORMATION
What breed are your meat birds? List all that apply.
*
Approximately what size flock do you maintain?
*
What type of outdoor access do the birds have?
*
chicken tractor (enclosed, movable, spacious coop with no floor)
open pasture (fenced or unfenced, only kept indoors at night)
enclosed chicken houses, no outdoor access
Other
What is the roaming square footage per bird?
*
Describe the birds' diet:
*
If grain feed is provided to the birds, is it (select all that apply)
*
not applicable
certified non GMO
certified organic
soy free
corn free
conventional
Other
LIVESTOCK INFORMATION
Please list all breeds of all livestock raised:
*
Approximately how many of each animal do you maintain at one time?
*
Please describe livestock's diet:
*
If grain feed is provided to livestock, is it (select all that apply):
*
not applicable
certified non GMO
certified organic
soy free
corn free
conventional
Other
Please list your primary processing facility:
*
Does your processing facility utilize vinegar in the washing process? (this will be communicated to customers with extreme corn sensitivity)
*
YES
NO
Please select all cuts that you offer:
*
whole or half animal
primals
USDA packaged and labeled retail sized cuts
Please estimate how many of each animal you process per month:
*
Do you sell or resell processed animals or retail cuts from any animals not raised on your farm?
*
YES
NO
If YES, please list all applicable farms and contact information.
Please upload wholesale price list OR list in the box below:
Browse Files
Cancel
of
wholesale price list
List any quick facts or interesting points about your farm practices that you'd like our staff to share with SRCG customers:
Is your farm covered by liability insurance?
*
YES
NO
If YES, Insurance Company
*
If YES, Insurance Limits
*
Is your farm GAP Certified
*
YES
NO
If YES, Certifier's Name
*
Please list GAP certified crops
*
Is your farm Certified Organic
*
YES
NO
If YES, please upload a copy of the certificate for SRCG to have on file.
Browse Files
Copy of Certification
Cancel
of
If YES, Certifier's Name
*
Certified By
*
Is ALL of the land certified?
*
YES
NO
If not all of the land is certified, # of acres that are certified:
If NO, are you currently in transition or planning to start?
YES
NO
If currently in transition, what month/year will you be certified?
List any other additional certifications
Browse Files
Cancel
of
Please draw this captcha to show that you are not a bot. Thanks!
*
Submit
Should be Empty: