Wholesale New Customer Registration Form

Wholesale Catalog Inquiry Form

To apply for an wholesale account please fill out the following form.
Business Name *
Years in Business *
Federal Tax or EIN Number
Phone Number *

Area Code Phone Number
Type of Organization *

Individual Partnership Corporation Non Profit Governement
Type of Business *

Manufacturer Teashop Hotel / Motel Restaurant Gift Shop Online Retailer Office distributor Retail Distributor Wholesale Distributor Coffee Shop Roasters
Buyer Contact *

First Name Last Name
E-mail *

Mailing Address *

What Products were you interested in?

Loose Leaf Teas & Herbs Custom Blends Iced Teas Pyramid Tea Bags Accessories
How did you hear about us?
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Wholesale Catalog Inquiry Form