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 *
Address *
City *
State *
We primarily service Oregon and Washington.
Zip Code *
Main Contact Name *
Phone Number *
Email Address *
Business Hours *
Example: M-F 9 am - 5 pm
Where did you hear about us?
If you heard of us through a referral, who referred you?
Have you worked with PCFCo 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.
Business Type *
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.
Are you currently buying produce from anyone else? If yes, who are you currently purchasing from? *
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