New Account Request Form
Thank you for your interest in Pacific Coast Fruit Company. Please fill out the form below to the best of your ability. We will review your answers and match you up with an appropriate salesperson as soon as possible. If you need help or more information, please call Customer Service at {800} 461-3788.
Business Name *
Your answer
Address *
Your answer
City *
Your answer
State *
We primarily service Oregon and Washington.
Zip Code *
Your answer
Main Contact Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Business Hours *
Example: M-F 9 am - 5 pm
Your answer
Have you worked with PCF before? *
If yes, please tell us who your salesperson was and when you worked with us.
Include dates, salesperson's name, and any other pertinent information.
Your answer
Business Type *
Check all that apply
Where did you hear about us?
If you heard of us through a referral, who referred you?
Your answer
Tell us more about your business *
Include information about what you sell, your customer base (high end, consumer, other businesses, etc), your produce goals, etc.
Your answer
Are you currently buying produce from anyone else? If yes, who are you currently purchasing from? *
Your answer
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