wholesale application

Wholesale Account Application

Thank you for your submission!

Type of Business

CorporationPartnershipProprietorship

Business Name^*

DBA^*

Hours of Operation^*

Days of Operation^*

Purchasing Contact Information

Email^*

Phone^*

Position^*

Business Address

Address^*

City^*

Province^*

Postal Code^*

I authorize the verification that the information provided on this form is accurate and correct:I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief.

Signature Name^*

Signature Date^*

*By signing this agreement you are agreeing to the Stoke Juice consignment wholesale program. The wholesale agreement is as follows: As a wholesaler you will sell all juice for $10.00 plus $2.00 bottle deposit to the customers. Stoke Juice will deliver free of charge, handle the order quantities, and credit any product that is unsold each week. Should the wholesaler sell the juice for more than the agreed pricing structure, Stoke Juice will not be able to guarantee the sale of the product. We thank you for the opportunity to stock Stoke Juice at your location and look forward to working with you! I hereby acknowledge that I have read, understand and agree to the terms of Stoke Juice consignment wholesale program.

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Wholesale Account Application

Thank you for your submission!

Purchasing Contact Information

Business Address