Wholesale Credit Application

ALL INFORMATION PROVIDED WILL BE HELD IN STRICT CONFIDENCE.

Date*
MM slash DD slash YYYY
Company Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Type of Ownership*
Year Established*
Federal Tax ID#*
ACCOUNTS PAYABLE CONTACT INFORMATION
Name*
First Last
Title*
Phone*
Fax
E-mail address for invoices and statements:*
Enter Email Confirm Email
BANK INFORMATION
Name of Bank*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Phone
Account #*
Bank Routing #*
TRADE REFERENCE INFORMATION
We require a minimum of three trade references. List only the companies with whom you currently have terms, not accounts paid by credit card or COD. To facilitate this process, be sure to fill out all the fields for the references you list. If you would like to provide more then three, just copy this form and attach it to the original application. The following companies do not disclose credit information: Burt’s Bees, Frontier Natural Products Co-op, NOW Foods, and United Natural Foods, Inc.
#1 Company Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email
Account #*
#2 Company Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email
Account #*
#3 Company Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email
Account #*
We would like to establish credit with your company. We authorize you to contact our references we have listed.
Name*
First Last
Title*
Signature*
Date*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Quality you can feel
The finest ingredients in our expert hands equals results you can feel.

QUALITY

Natural, organic
& ethically sourced
A supply chain based on 30 years in business

INGREDIENTS

Organic before it was cool
We’ve been producing natural and organic products for over 30 years!

EXPERTISE

We want to get to know you, your company, personal expectations and goals. Combined with our 25 years of natural and organic expertise, we’ll make sure you’ll get the soap-making supplies and other products best suited to your needs. Please call us to speak with a highly trained White Label Specialist about your needs to arrange for price and sample.

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Wholesale Credit Application