Thank you for your interest to become one of our retail partners! 
You may print this form, complete it and fax it to 719-488-1290. Once your application is approved, we will email you our retailer kit and then you will be able to purchase any of our products at Keystone pricing. Our minimum opening order is $249.00. 



APPLICATION FOR WHOLESALE STATUS

BUSINESS NAME: __________________________________________________________________________________________

  

ADDRESS: ________________________________________________________________________________________________

  

CITY:  _______________________________________  STATE: ___________________  ZIP:  _____________________________

  

PHONE: ___________________________________________  FAX: __________________________________________________

 

 OWNERSHIP:     INDIVIDUAL  ________________  PARTNERSHIP  ________________  CORPORATION  __________________



 FEDERAL TAX ID NO.: ______________________________________ 



NON PROFIT: ______________________________________________ REGISTRATION#:_________________________ 


PURCHASES AUTHORIZED BY: _______________________________________________________________________________


 CONTACT EMAIL: ___________________________________________________________________________________________



X  ______________________________________________________    Date:__________________________________

      Authorized Signature & Title                

                                                      

 Note: To preserve the value of our brand, Retail partners must abide by our Minimum Advertised Price (MAP) policy which states you may not advertise our products below 30% off MSRP. You may sell our products at any price you wish; however, you may not advertise our products for sale below the MAP percentage. MAP violations may result in termination of your wholesale status.

 

Hummingbird Vineyard, Inc., 14104 Tern Dr., Colorado Springs, CO 80921

*Phone (719) 337-4011    *Fax (719) 488-1290    *Email: Bill@HumVin.com

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