P.O. Box 201Mentor, MN 56736Ph: 888.692.1136 or 218.637.8204Fax: 218.637.2379Email: andersonseed@gvtel.com
Distributor Inquiry
We hope you will become a distributor of our fine bird feeding products.
To become a retailer or distributor, please complete this form and press the submit bottom located at the bottom of the page.
*Required fields and information
*Business Name:
*Street Address:
*City, State & Zip:
*Phone:
*Fax:
*Email Address:
*Your Name:
*Title:
*Are You the Key Decision Maker?
Select One Yes No
If No, who makes the final decision: Name:
RETAILERS ONLY:
*Number of Stores:
*Central Warehouse(s):
*Sales Tax Certificate Number:
*Class of Business:
Yes No Pet Shop Yes No Feed Store Yes No Hardware Yes No Lawn/Garden Yes No Farm Supply Yes No Grocery Yes No Mass Merchant Yes No Other
*Type of Business:
Select One Corporation Proprietorship Partnership LLC
DISTRIBUTORS ONLY:
*Number of Retail Stores Served:
*Number of Warehouses:
*Number of Outside Sales People:
*Number of Company-Owned Vehicles:
*Types of Stores Services:
Yes No Feed Store/Farm Supply Yes No Pet Shop Yes No Hardware Stores Yes No Lawn/Garden Store Yes No Grocery Store Yes No Mass/Discount Store
Other Information You Feel is Important or Additional Comments:
