Register to Shop Wholesale
Thanks for your interest in Farmer Foodshare's Wholesale Market. Please fill out the information below and a Wholesale Market representative will be in touch with you to discuss your local food needs and set up an online shopping account for your organization or business.
Basic Information
First Name *
Your answer
Last Name *
Your answer
Organization *
Your answer
Main Contact Person *
Your answer
Email Address *
Your answer
Daytime Phone Number *
Your answer
Alternate Telephone Number
Your answer
Delivery Information
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
What is your preferred delivery day?
Billing Information
Same as Delivery Address? *
If no, please fill out the billing address below.
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
About Your Food Program
Please describe how your organization or business uses fresh food. *
This can include information about the fresh food items being served, the frequency of distribution, amount of food served, etc.
Your answer
Which of the following best describes your organization or business?
Which food items are you most interested in purchasing?
What type of food does your organization or business use?
How many clients does your organization or business per year?
Your answer
What ages are being served by your organization or business?
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