Wholesale Application

Company Name (required)

Store Name (required)

Website Address

Your Name (required)

Your Email (required)

Address 1 (required)

Address 2

City (required)

State (required)

Zip Code (required)

Your Phone Number

How did you hear about Sweet Georgia Sugar?

Tax Exempt ID

Owner's Name

Buyer's Name

How long have you been in business?

How many locations do you have?

What type of business is this?

In what cities do you have locations?