Vendor Registration - Tangle Wood Urban Farms Wholesale

Business Information

Business Name

DBA / Trade Name

Business Type

Tax ID / EIN Optional - may be required for tax-exempt status

Years in Business

Website

Tell us about your business

How did you hear about us?

Back

Contact Information

First Name

Last Name

Email Address

Phone Number

Job Title

Use different billing contact

Primary Delivery Address

Location Name

Street Address

Suite/Unit/Floor

City

State

ZIP Code

Delivery Instructions

Receiving Contact Name

Receiving Contact Phone

Preferred Delivery Window

to

Account Setup

Password Minimum 8 characters

Confirm Password

Preferred Payment Terms Subject to credit approval

Estimated Monthly Order Volume

Products of Interest

Produce

Dairy

Eggs

Meat

Baked Goods

Specialty Items

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Wholesale Partner Application

Business Information

Contact Information

Billing Contact

Primary Delivery Address

Account Setup