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Setup Your Wholesale Account

Complete the form below and submit. Or, if you prefer, download this wholesale account form, print, complete, and scan or take a picture of it and email it or text it to our phone number.

    Business Type  

    Business Classification

    Physical Address

    Mailing Address Same

    Mailing Address

    ___________________________________________
    Owners/Officers
    ___________________________________________

    Residence Address

    Is There An Additional Owner/Officer?

    Additional Owner/Officer

    Residence Address
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    I agree that entering my full name above serves as my bonding electronic signature for this Wholesale Account Form certifying that all information is complete and true. For security purposes, the driver's license number and birth date for the signer will be collected by phone rather than entering here.

    Stay Updated on Happenings Around the Farm

    Stay updated on specials and happenings in the Columbus, TX, area (about once a month) by completing the form below.