Growers Trust Distributor Application
Please be aware that completion of a Distributer application does not guarantee your acceptance as a Growers Trust reseller. All information we receive is kept confidential and safe.
Company Name *
Date Business Started *
You can give a rough estimate if you don't remember the exact date.
Type of Business *
Required
Tax ID # *
EIN or SSN if Sole Proprietor
Name of Contact *
The contact person we should contact about this account
Shipping Address *
The Address that you will be a distributor at and that we will ship wholesale products to.
Business Phone Number *
Business Fax Number
Email Address *
Website
What type of business do you have?
Agreement
By sending in your information you agree that we can contact you to provide application status updates to you. At the time we receive this request to become a distributor we will send you via email our full distributor terms and conditions and will require your signature before acceptance.
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