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.

Contact Information

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

Shipping Information
Residential   Commercial  
  Check here if Shipping Address is the same as Company Address above.
Business Information
Proprietorship   Partnership   Corporation  
Check if yes.
Seasonal   Year Round  
Gourmet Food Store
  Department Store
  Gift Shop
Account Information
Credit Card  

Don't miss out!

Be the first to hear about exclusive offers
and new products from Bertie County Peanuts!