Required information marked by
*
General Information
Group Name:
*
Group Description:
How many members of your group will be selling?
Contact Name:
*
Title:
Phone Number:
*
Alternate Phone Number:
Fax Number:
Treasurer/Financial Person:
*
Treasurer/Financial Phone Number:
*
Treasurer/Financial Alternate Phone Number:
Account Information
Email address:
*
Also used for logging into account.
Password:
*
Re-Type Password:
*
Shipping Information
If you will be picking up your order please provide your mailing address.
Address:
*
City:
*
State:
*
Zip:
*
For the four following questions reference our shipping calendar by
clicking here
.
We want our Bulk Shipment & Sample Wreath Shipped to this address (No P.O. Boxes):
Commercial/Business Address
Residential
Pickup Order
Please ship our BULK ORDER during the week of:
(must be confirmed by Alpine Farms)
November 8th
(Order Deadline Oct. 25th)
November 15th
(Order Deadline Nov. 1st)
November 22nd
(Order Deadline Nov. 8th)
November 29th
(Order Deadline Nov. 15th)
December 6th
(Order Deadline Nov. 22nd)
Please ship our SEND-A-GIFT ORDER during the week of:
(must be confirmed by Alpine Farms)
November 15th
(Order Deadline Nov. 1st)
November 22nd
(Order Deadline Nov. 8th)
November 29th
(Order Deadline Nov. 15th)
December 6th
(Order Deadline Nov. 22nd)
December 13th
(Order Deadline Nov. 29th)
Please ship our SAMPLE WREATH and SALES BROCHURES during the week of:
October 4th
October 11th
October 18th
October 25th
General Information
Questions? Comments...
TERMS & CONDITIONS:
By completing this application, I agree that:
I certify that I am the designated decision maker for the organization named above & that I am over 18 years of age. Our organization agrees to pay for all products invoiced & shipped by Alpine Farms, including $25 for the sample wreath should we decide not to participate, and agrees to pay a 2% per month finance charge on outstanding balances. No credits will be issued for unsold product. We agree to report any claim or discrepancy within 48 hours of receipt of product.
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