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Wholesale

Please fill out the form below to apply for a wholesale account with Pepper Creek Farms.

NOTE: If you already have an account with us, please login at the login page.

Your Personal Details
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Email*
Address
Address*
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Contact Information
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Company Details
Company Name*
Company's Tax ID Number*
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New Owner
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Purchase Date
MM slash DD slash YYYY
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Business Year*
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- Year Round
Type of Business
- Gourmet Food Store
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- Baskets
- Restaurant/Caterer
- Gift Shop
- Other
Other Type of Business
Account Details
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