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Palouse Brand & Clear Creek Foods Wholesale Supplier Form
Please complete this form if you are interested in becoming a supplier of our small bag foods. You must have a valid business license and re-sale certificate to NOT be charged tax.
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Email
*
Your email
Company Name
*
Your answer
Company Shipping Street Address
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Your answer
Shipping City
*
Your answer
State
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Your answer
Zip Code
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Your answer
Company Phone
*
Your answer
I will email my business license and re-sale certificate to wholesale@palousebrand.com.
*
Choose
Yes, I am sending that in , I understand my account request will not be processed until this set is complete.
Your Website Address (type N/A if you do not sell online).
Your answer
Please select an option that best describes your business.
*
Choose
Local retail store with NO ecommerce.
Local retail store WITH ecommerce.
Ingredient/food manufacturer.
Food export/Import (over 50,000 lbs per container)
Regional grocery store chain.
National grocery store chain.
Food service distributor.
Restaurant
Other, none of the aforementioned describe our company.
I agree by signing up for a wholesale account I will never sell Palouse Brand or Clear Creek Foods on AMAZON.com, EBAY.com, or WALMART.com.
*
Choose
I agree and give my full consent that I will never sell on the sites mentioned above.
I disagree - I understand by disagreeing I will not be issued a customer account.
Send me a copy of my responses.
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