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Wholesale Ordering Username & Password Request Form

Access to SCHARFFEN BERGER Chocolate Wholesale Product/Pricing Information and online ordering requires a wholesale username and password. If you do not have a wholesale username and password, please complete the online request form below and we will be happy to provide one to you.

Upon completion and submission of your request, we will confirm your request and provide to you a username and password within 2 business days.

Please Complete the Form Below

* - Required Information
Business Name:*
Reseller's Permit #:* (Issued to you by the State)
(Also known as: Sales Tax Exemption # or Wholesale License #)

Website/eCommerce site:*
Social Media Site:*
(If you don't have a website)
Primary Contact - First Name:*
Primary Contact - Last Name:*
Business Address 1:*
Business Address 2:
Zip Code:*
Phone Number:*
Fax Number:
E-mail Address:*
Do you currently sell SCHARFFEN BERGER Chocolate Maker & DAGOBA Organic Chocolate products?
Do you plan to sell on Amazon?
How do you plan to use our products/business channel:
(Stock a break room, Retail, Ingredient, etc.)
How did you find out about SCHARFFEN BERGER Chocolate Maker & DAGOBA Organic Chocolate?