Shop By Price    |   Fundraisers    |   Become a Retailer    |   Nutritional Info    |   About Peanuts / FAQ    |   About Us    |   Shipping Info
Blister Fried Peanuts
Sweet Tastes
Seasoned & Salted Peanuts
Roasted Peanuts
Spicy Peanuts
Raw Peanuts
Collegiate Peanuts
Other Nuts
Natural Flavors
Bulk Best Buys
Gift Baskets and More
Papa Jack's General Store
Holiday Tins
Gift Certificates

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  Other 
If other, please specify the class of business in the Comments section below.
* 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: 
Recipes  |  Fundraisers  |  Become a Retailer  |  Nutritional Info  |  About Peanuts / FAQ  |  About Us  |  Shipping Info  |  Photo Gallery