Wholesale or Grocery Application Form
To set up a Wholesale or Grocery Wholesale account, please input the following information in the contact bars below. After submission, we will set up your account within 3 business days and send you a welcome email to finish setting up your account. Questions? We're here to help. 763-318-0614 or email sales@elderberryqueen.net
Name (First and Last) *
Email Address *
Phone number *
Business Name *
Business Address *
Street Name, City, State, Zip Code (Please include entire address)
Business Website
(Must include https:// before www.)
Tax ID (not needed for Grocery Stores) *
Hours of Operation (to be added to our Find Us tab so customers can stop by to purchase during your open hours.) *
How did you hear about us? *
Where do you plan to sell our products? (We do not allow sales on Amazon.) *
Comment
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