Distribution
Opportunities

Store Locator

Affiliations

Surveys

Distribution Opportunities

Alfalfa King welcomes quality distributors and merchants to help bring our products to new markets. Please take a moment to fill out and submit the form below.

All of the fields marked with an * must be completed for your form to be accepted.

Merchant Type:*	Feed Store Pet Store Veterinary Hospital Distributor
Company Name:*
Contact Full Name:*
E-mail:*
Phone:
Fax:
Shipping Address:*
Shipping City:*
Shipping Zip:*
State / Province:*

Billing Address:
Billing City:
Billing Zip:
Billing State / Province:
Preferred Method of Payment ?	C.O.D. Invoice Visa/ Mastercard/ Number Expiration Date
Bank References		Example: Name of Bank Address of Bank Phone number
Vendor Reference 1
Vendor Reference 2
Comments:
I Authorize Alfalfa King to Contact any listed references to secure credit information. Yes Information contained on this application is considered private and confidential. It will only be used internally by Alfalfa King to establish credit. Please feel free to Contact Us regarding these policies.

^© 2002 Alfalfa King ^tm. All rights reserved. | Terms of Use | Privacy Statement
Site Disclaimer: Any and all information given on this web site is to best of Alfalfa King's knowledge .
Any and all liabilities from the use there of is not the responsibility of Alfalfa King ^tm .