Distributor's Information Form
Thank you for your interest in becoming a Garden Fresh resaler/distributor. Please give us a little information about yourself and we will contact you as soon as possible.
Owner's Name:
Type:
-- Select from list --
Distributor
Single Store
Multi-Store
Franchise Store
Other
Business name:
Address:
Address 2:
(optional)
City:
State:
Zip:
Phone:
Fax:
Email:
(optional)
Website:
(optional)
My business caters primarily to:
(select all that apply)
Birds:
Reptiles:
Dogs:
Fish:
Cats:
Other:
Years in business:
-- Select from list --
< 1 year
1 - 2 years
2 - 5 years
> 5 years
Projected annual bird food product sales:
-- Select from list --
Unknown
< $1000
$1000 - $5000
$5000 - $10,000
> $10,000
(If Distributor) I distribute to these pet stores:
-- Select from list --
Not a distributor
< 5
5 - 10
10 - 25
25 - 50
> 50
I am primarily interested in:
(select all that apply)
Dispensers:
(see photo at page top)
Small packaging:
(2 lb. & 4 lb. bags)
Bulk packaging:
(20 lb. and 40 lb. bags)
Thank you for your interest in Garden Fresh Bird Food products. We will review your form and contact you as soon as possible!
