Wholesale Application
Please fill out the form below, hit submit to email the form to us. We also require a Faxed copy of your state Sales Tax License. Please Fax license to 417-882-1855.
Business Information
Business Name:
*
Contact Name:
*
Phone:
*
Fax:
Website:
E-mail:
*
Tax ID#:
*
Type of Business:
*
Billing Address
Address:
*
City, State, Postal Code:
*
Country:
Shipping Address
Address:
*
City, State, Postal Code:
*
Country:
* Required Information
Additional Information
Comments or special requests:
Please Fax your State Sales Tax License to: 417-882-1855
Call with any questions: 417-655-1206 or email:
sales@artificialfruitsandveggies.com
