Wholesale Application Form

  

Your Company Information:

Are you an existing Zhi Tea Wholesaler?: 

No Yes

Your Company Name: 

Type of Business 

State Tax ID #: 


A State Tax ID is requested to set up a wholesale
account. If you do not know your number or if you have applied but not yet received it, please enter TBD.

Your Primary Contact & Billing Information:

First Name: 

Last Name: 

E-Mail: 


(this will become your login)

Confirm E-mail: 

Address: 

City: 

State: 

Zip: 

Phone: 

Area Code:  Number: 

Password: 

Your  Website: 

http://

Your Primary Ship to Information:

Check if Ship To is Same as Bill To:

Ship To Company Name: 

Ship To Address: 

Ship To City: 

Ship To State: 

 Ship To Zip: 

Ship To Phone: 

Area Code:  Number: 

Comments: 

Same Day Shipping if you order by Noon CST Free Shippingfor orders over $75 or Flat Rate $4.95

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