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Retailer Application Form/Information Request


Please fill out our retailer application form below as completely as possible.  You can be assured that we will not sell or pass on any information to anyone. We highly value your trust.  

Once you have signed up you will be given access to our wholesale website where you can view all of our products and place wholesale orders online.  

Our website receives hundreds of visitors every day and we direct these out to our retailers in all parts of the country. After placing your first order will we list you on our retailers page. Customers only need to enter their zip code in our retailer section to locate the closest retailer.  

Be sure to link your site to ours (www.farmsoap.com not the wholesale website) and we will also link up to your website if you have one. It is especially important for you to show some of our soap on your website so that people know that they have reached the right site and know that they can order from you. You may pull down pictures from our wholesale website to place on your website. Your webmaster will know how this is done.

Contact Info:
Company Name:  
Contact Name:  
Contact Position:  
Telephone  
(area code first or toll free):  
Extension:  
E-Mail:  
Fax (area code first):  
Web Site address:
  


Shipping Address
(for when you make an order)
Shipping Address:  
City:  
State/Province:  
Country:  
Postal Code:  
  


Billing/Office Address
Billing Address same  
as shipping?  
Billing Address:  
City  
State/Province:  
Country:  
Postal Code: 
 

Comments:  

Please contact me to  
place an order:  
 
Please consider me for a future featured retailer story:    


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