Information for Vendors

Name*
First Last
Email*
Company name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Website
Product Names*
Brief Product Description*
Product Category*
- Grocery- Shelf Stable
- Grocery - Refrigerated, Dairy, or Frozen
- Wellness - Supplements & Body Care
- Beer/Cider
- Bulk - Dry Goods/Liquids/Herbs
- Meat and Seafood
- Cheese and Specialty Foods
- Bakery
- Produce
- Gifts, Housewares, and Mercantile
- Plants
- Food Service/Prepared Foods
- Arts & Crafts
- Books & Magazines
(check up to 2 that apply)
Additional Details*
- Produced within 100 miles of 4-Corners Food Coop
- Produced between 100-250 miles from 4-Corners Food Coop
- Organic
- Fair Trade
- B-Corp
- Other Type of Cooperative
- Other
(Check all that apply)
What other area stores or markets, if any, carry your products?*
Wholesale Purchasing Details
Please email a one or two page Line Sheet of the items that you are looking to sell at 4-Corners Food Co-op. The name of the file should start with the business name. Please include the following information: Business contact information; General ordering information and sales terms; Product images; Product names; Product descriptions; Available flavors, scents, colors or variations; Product ingredients and sourcing (in as much detail as possible) . Wholesale prices and suggested retail price (SRP); Minimum orders or pre-pack quantities; Shipping information (estimated delivery time from PO, carrier)

Email to: info@4cornersfoodcoop.com
Do you currently work with distributors? If so, which ones? **
Would you like to be on our Food Map?*
- Yes
- No
- Maybe
Do you have a CSA or do you participate in a CSA?*
- Yes
- No
Would you like to be a part of 4-Corners CSA?*
- Yes
- No
- Maybe
Date Application Submitted*
MM slash DD slash YYYY

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