Wholesale order form

Case orders for retailers and distributors, with PO number and optional tax details.

Use this template

Wholesale ordering

Exclusive pricing for retailers and distributors. Minimum order: one case.

Store or company name

Contact person

First Name

Last Name

Email address

Phone number

Select your cases

Case of 12 jars — artisan hot sauce

Suggested retail: $6 per jar.

$36.00

Qty

Case of 24 jars

Our best per-unit price.

$66.00

Qty

Counter display (36 minis)

Includes point-of-sale materials.

$89.00

Qty

Purchase order (PO) number

Requested delivery date

Delivery address

Street Address

Street Address Line 2

City

State / Province

ZIP / Postal Code

Do you need an invoice issued to your company?

Yes No

Tax ID (VAT / EIN)

Legal business name

Notes for your account manager