Wholesale Application

Your Company Information:

Are you an existing Zhi Tea Wholesaler?: No Yes Your Company Name: Type of Business State Tax ID #:

A State Tax ID is requested to set up a wholesale account. If you do not know your number or if you have applied but not yet received it, please enter TBD.

Your Primary Contact & Billing Information:

First Name: Last Name: E-Mail:

(This will become your login)

Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Phone Number: Your Website: http://

Your Primary Ship to Information:

Ship To Company Name: Ship To Address: Ship To City: Ship To State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Ship To Phone Number: Comments: