Wholesale Account Request Company Information This is the information we will use to create your wholesale account for BerriFit.com, please note that each company can only have one email log on. Company Name* Account Login Email* Primary Contact Name* Phone Number* Department Position/Title Notes Please include additional email addresses that you would like to receive order confirmations, invoices, etc. Store Information Please provide us with information about your store to evaluate your eligibility for a wholesale account. What kind of store are you?* OnlineBrick & MortarOther Website URL # of years in business How did you hear about us? How did you hear about us?ReferralWhole Foods MarketBerriPro.comSearch EnginePublicationOther Sales Tax / Resale Number (US Customers Only) Please Upload a PDF of your State Sales Tax & Use Resale Certificate (US Customers Only) Accepted file types: pdf, png, gif, jpg. Address Shipping Address * Street Address* Address Line 2* City* State* Zip Code* Country* Billing Address (if different) Street Address Address Line 2 City State Zip Code Country Store Address (if different) Street Address Address Line 2 City State Zip Code Country Please read Berri Fit's Wholesale Terms and Conditions here. I have read Berri Fit's Wholesale Terms and Conditions*
