Green Pasture Products Wholesale/ Group Buyer Application

Green Pasture Products reserves the right to sell only to those customers, group buyers, and wholesalers who agree to be subject to and adhere to our Terms of Use, including the Sales Policy and the Third Party Marketing Policy contained therein.

Selecting an Account Type

Please identify the type of based on the following qualifications:

  1. Domestic Wholesale: Store front wholesale account domestic:
    • Web business; If you have a web business that sells like products with valid tax ID and business phone number, advertise at suggested retail prices See Terms of Use for our Sales Policy.;
    • practitioner with store front, tax ID or license number and valid business phone listing, advertise and price at suggested retail prices,
    • a retail outlet that sells other like products at suggested retail prices, must have sales tax ID and business line and address
  2. Group Buyer and other domestic wholesale accounts;
    • wapf chapter leader who organizes group buys where everyone in the group saves,
    • non-profit buyer who works with others in the community and offers products at savings to others within the community, other wholesale accounts that do not fully comply with the store front wholesale account category.
  3. International Wholesale account
    • web based business,
    • store front based business
    • practitioner

Wholesale Account Registration

Wholesale accounts serve practitioners and companies selling large quantities of product. Group Buyers benefit from bulk pricing, but do not do not purchase in sufficient quantities for wholesale pricing. If you are unsure, select Domestic or International Wholesale.

Accounts not qualifying as domestic wholesale, group buyer or international wholesale shall not resell any product (but may still qualify for a retail account). Please call 402-858-4818, ext. 1, if questions regarding your proper account type exist.

 
First Name
Last Name
Email
Phone
Address
City
Country
State or Province

ZIP or Postal Code
 
Account Information 
 
1.   
Account Type
 
Domestic Wholesale
Group Buyer
International Wholesale
 
Company Information 
 
2.   
Organization Name (Name of your company or organization)
 
 
3.   
Type (Select the most appropriate description for your company)
 
Alternative Medicine
Chiropractic
Buying Club
Doctor's Office
Farm Store
Food Coop
Gym
Health Food Store
Medical
Other
 
4.   
Category (Select the most appropriate category for your company)
 
Retail Store
Internet Retail
Practitioner with Office
 
5.   
Tax ID (Required for U.S. accounts)
 
 
6.   
Estimated Annual Sales (All information is confidential)
 
N/A
Less Than $10,000
$10,001 to $25,000
$25,001 to $50,000
$50,001 to $75,000
$75,001 to $100,000
$100,001+
 
7.   
Number of Employees (Employees or members. All information is confidential.)
 
 
8.   
Business Phone (Enter only one phone number)
 
 
9.   
Business Fax (Enter only one fax number
 
 
10.   
Website URL (If you have a website URL, enter it here)
 
 
11.   
Ecommerce? (Check if you will sell our products from your website)
 
Yes
No
 
Billing Address (If different from shipping address) 
 
12.   
Billing Address Line 1
 
 
13.   
Billing Address Line 2
 
 
14.   
Billing City
 
 
15.   
Billing State or Province (Please enter the abbreviation for your state or province)
 
 
16.   
Billing Postal Code
 
 
17.   
Billing Country
 
 
18.   
Billing Phone
 
 
Important Questions 
 
19.   
Why do you want to stock our product line?
 
 
20.   
Which items are you most interested in and why?
 
 
21.   
What do you know about Dr. Weston Price's work with these products?
 
 
22.   
Estimated Order Frequency
 
Weekly
Monthly
Quarterly
Semi-Annually
Annually
 
23.   
Estimated Order Amount (How much will you be ordering each time?)
 
 
24.   
Agreement
 
I agree to abide by the Terms of Use established for this site and registered customers.
 
 

 

Green Pasture Products, Vitamins & Food Supplements, Oneill, NE