RETAILER/DEALER APPLICATION

We are accepting personalized dealers. Bulk dealers will be accepted soon. In order to view wholesale pricing, you must submit an application. We will respond to your application within 24 hours, Monday - Friday.

Please contact us at 1.877.386.0029 or info@tortilla-soup.com for more information.

BUSINESS TYPE: Store Home Dealer Online Retailer Showroom

Company Name:
Contact Name:
TAX ID NUMBER:
RESALE NUMBER:
Street:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL:
WEBSITE:

 

Verification Code:

Enter the code in the image above in this field:

 

By submitting this application, you will certify that the above information is true and accurate.