Wholesale Basket Distributor | Become a Customer

Sunday, November 24

Become A Customer

Fill out our quick survey below to become a customer at Willow Group. Being a customer not only allows you to see live pricing and availability but it also allows you to place an order or look up previous invoices.

Customer Application

First Name:

Last Name:

Business Name:

Mailing Address:

City:

State/Providence:

Zip Code:

Shipping Address:

(If different from mailing address)

City:

State/Providence:

Zip Code:

Phone Number:

(ex: 123-456-7890)

Email Address:

Type of Business:

(Please Be Specific)

Tax ID Number:

(Federal, State, Sole Proprietorship or Vendor License #)

How Did You Hear About Us?:

Online Search Engine (Google, Bing, Yahoo, etc.)

Facebook

FGmarket.com

Other Social Media (Twitter, Pinterest, LinkedIn, etc.)

Trade Association

Referral

Trade Show

Security Code:

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