Wholesale

Please fill out the Fresh Client Form below.

Owner/Officer Name *

Company Name *

Mobile Phone *

Email *

Registered Company Address *

City *

State *

Zip Code *

Date Business Commenced *

Business Type *

Sole Proprietorship

Partnership

Corporate

Other

Tax ID/EIN Number *

How Long at Current Address *

Mailing Address (if different than above)

Accounts Payable Contact *

Phone *

Email *

Payment Preference *

ACH

CC (+3%)

Check

Invoices will be emailed to the Accounts Payable Contact as noted.
All invoices to be paid within 7 days of the invoice date. Checks must be postmarked within this timeframe. Additional terms available upon request.
Any balance remaining unpaid more than 30 days after the invoice date shall accrue interest at a rate of 1.5% per month (18% per annum), or the maximum rate permitted by law, whichever is less.
By clicking submit below, you are acknowledging electronically that you agree to the above.