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WHOLESALE APPLICATION

1. Create an account at hellofromoregon.com/account/register

2. Fill out our wholesale application and await approval.

3. We’ll review within 24–48 hours and notify you by email.

OWNER INFORMATION

Name (First, Last): *

Address: *

Phone Number: *

Email: *

BUSINESS INFORMATION

Company Name: *

Business Start Date: *

EIN Number: *

Business Phone: *

Delivery Address: *

Mailing Address: *

Web Address: *

Buyer’s Name: *

Buyer’s Email: *

Type of Business: *

Corporation Sole Proprietorship Partnership LLC

ACCOUNTS PAYABLE INFORMATION

Business Legal Name: *

Mailing Address: *

Accounts Payable Contact: *

Accounts Payable Email: *

Phone Number: *

Authorization & Agreement

I certify that the information provided is true and accurate.

Digital Signature: *

Title: *

Date: *

Notes: