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Wholesale Inquiry - 76 Roasters Coffee Co.

Name

Company/Organization Name

Email

Business Address

Phone Number

Preferred Contact?

Preferred Contact?
A
B

Type of Organization

What Type of Coffee Are You Interested In?

What Type of Coffee Are You Interested In?

Desired Start Amount of Coffee

Desired Start Amount of Coffee
A
B
C
D
E

Custom Amount

How Soon Are You Looking to Start?

How Soon Are You Looking to Start?
A
B
C
D

Do You Already Have a Resale Certificate?

Do You Already Have a Resale Certificate?
A
B

Do you currently have coffee brewing equipment (espresso machine, grinder, brewer, etc.)?

If Not, What Type of Equipment Are You Interested In? (e.g., espresso bar, drip coffee, pour-over)

Any Other Questions/Comments/Concerns?