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The Marimix Company Inc. presently has a wholesale line and sells our products to specialty food stores, hotels and resorts, department and gift stores, florists, wineries and gift basket companies throughout the country. If you wish to receive information on our wholesale program, please fill out the information request form completely. One of our sales representatives will respond to you immediately. Thank you.

Wholesale Information Request Form

The lines with an asterisk "*" need to be filled out completely.
Your request cannot be processed with out them.
Name*
Title*
Company*
Company President*
Buyer Contact Name*
Re-Seller Permit
Tax ID Number*
Email Address*
Street Address*
Suite/Bldg. No.
City*
State / Zip Code*
Company Phone
Company Fax
Company
Web Site
What type of establishment are you*?
Have you previously sampled our products*?
Yes No
If a chain,
how many stores
do you have?

How did you hear about us?
Your Questions / Comments:


The lines with an asterisk "*" next to them are mandatory to fill out.
Your request can't be processed with out them.