Virtue Wholesale — New Customer Application

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Welcome to Virtue's Wholesale Program!

Please fill out the following intake form for us to input into our system.

If you have any questions about the form, please reach out to info@virtuejuice.com.

Legal Business Name *

DBA(s) (if any)

Business Physical Address:

Street Number

City / State / Zip Code

Business Tax ID Number (EIN):

XX-XXXXXXX

How many locations does your business have?

What products are you interested in purchasing for your business?

Cold Pressed Juice - 12oz Bottles (Northern California only)

Granola - Bulk, 10lb Bag, 20lb Box, 16oz Shaker Jars

Coffee - Bulk, 5lb Bags

How many cases are estimated to be purchased per month?

(1 Juice Case = 8 Bottles)

(1 Granola Case = 20 lb)

(1 Coffee Case = 5 lb)

Buyer's Full Name: *

Buyer's Email Address: *

Buyer's Cell Phone Number: *

Best time of day to reach buyer, if needed?

How did you hear about Virtue?

Upon submission and approval, we will onboard your account with Wholesale Purchasing Status.

You will then be able to login and order with wholesale pricing at virtuejuice.com/wholesale.

Thank you!

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This form was created inside of Virtue.