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Maya Tea Wholesale Application
Thank you for your interest in opening a wholesale account with Maya Tea Company! Please fill out the form below with your information and we will be in touch.
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* Indicates required question
Business Name
*
Your answer
Applicant's / Owners Full Name
*
Your answer
Business / Delivery Address (Please Include Street/City/State/Zip Code)
*
Your answer
Billing Address (If different than above)
Your answer
Phone Number
*
Your answer
Alt. Phone Number
Your answer
Email(s)
*
Your answer
Website
Your answer
Year Established
*
Your answer
License / Resale #
*
Your answer
Federal Tax ID
*
Your answer
Authorized purchasers(s) for this account
*
Your answer
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