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Wholesale Partner Questionnaire

Tell us about your business! Please complete the questions below and click Submit.

Business Name

Business Point of Contact

First Name

Last Name

Business Phone

(###)

###

####

Business Email

Business Website

http://

Business Type(s)

(Examples: restaurant, catering, cakes/pastry, food truck, farm stand, retail gift or food shop, grocery/supermarket, hotel, inn, bed & breakfast, event planning, airline, etc.)

Partnership Type(s)

Examples: - Retail: I would like to sell Georgia Jams at my establishment. - Food service: I would like to include Georgia Jams in the foods I sell and/or with the foods I serve. - Other:

Connections

How did you hear about Georgia Jams? Have you tried our products?

Sales Tax License No.

(in order to receive wholesale pricing)

Business Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Mailing Address (if different from Mailing Address)