Bertie County Peanuts

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Blister Fried Peanuts
Seasoned & Salted Peanuts
Roasted Peanuts
Natural Flavors
Spicy Peanuts
Raw Peanuts
Other Nuts
Gift Combinations
Gift Baskets and More
Peanut Candy
Sweet Tastes
Papa Jack's General Store
Holiday Tins
Bulk Best Buys
Corporate Gift Ideas
Gift Certificates
Collegiate Peanuts
Special Occasions

Click here to download a
printable version of our
Catalog Order Form.

Wholesale Application

Please remember the email address and password you enter, as that information will be required to login as a wholesaler if your application is accepted.

* Indicates a required field.

Prefix:

* First Name:

* Last Name:

* Company:

* Address:

* City:

* State:

* Postal Code:

* Email Address:

*Phone:

* Fax:

We will be emailing your activation notice to this email address.

Shipping Information

* Shipping Address is:
Residential Commercial

Check here if Shipping Address is the same as Company Address above.

* Company:

* Address:

*City:

* State:

* Postal Code:

Business Information

* Class of Business:
Proprietorship Partnership Corporation

* Corporation Name:

* State Resale Tax Number:

New Owner:
Check if yes.

Purchase Date:

Length of Time in Business: year(s)

* Business Year:
Seasonal Year Round

* Type of Business:
Gourmet Food Store
Department Store
Baskets

Restaurant/Caterer
Gift Shop
Other:

Comments

Account Information

* Term Requested:
Credit Card

* Requested Password: