Fire & Flavor Retailer Request Form
Complete this form to purchase our products for retail sale. If you're a current retailer of Fire & Flavor products, fill out this form to update your account so that we may provide you with the latest offers, ordering tools, recipes, and merchandising ideas.
Company Name *
First Name *
Last Name *
Email *
Address *
Address Line 2
City *
State *
Postal/Zip Code *
Country *
Phone Number *
Number of Locations *
Website URL *
Current Retailer of F&F?
How did Fire & Flavor come to your attention? *
Tax ID *
Tax Exempt Certificate # (i.e. Resale #)
Required for Georgia based retailers only*
Sales & Use Tax Certificate
Required for Georgia based retailers only*
Wholesaler Type *
Current Assortment? *
What other brands do you currently carry?
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