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Wholesale Application

WHOLESALE APPLICATION

Business Information

Business Address







Shipping Address


























Application for Credit Terms
Hereby applies for credit in accordance with the terms and conditions of:
Cultures for Health Inc.
200 Innovation Ave. Ste. 150
Morrisville, NC 27560

The following information must be provided. It will be held in confidence.

1. Business Owner




2. Business Owner






1. Trade Reference






2. Trade Reference






3. Trade Reference






CULTURES FOR HEALTH INC CREDIT POLICIES

Terms: Net 30

Initial order must be paid via Credit Card, subsequent order may be shipped on open credit once credit application has been received and approved

By submitting this application, the applicant certifies that all the information on this form is correct. The applicant fully understands Cultures for Health's credit terms and agree to the proper payment in consideration of extended credit.

After completing this form, a copy of your Resale License must be uploaded below or submitted to Cultures for Health by email ([email protected]), fax (919-695-9600), or mail (200 Innovation Ave. Ste. 150, Morrisville, NC 27560). Wholesale applications will not be approved without this supporting documentation.


 
I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS