Roots New Customer Form
Thanks for your interest in Roots. Please send us the following information so that we can get our delicious hummus flowing your way.
Business Name
*
Product interest
*
Retail tubs 8oz
Retail tubs 16oz
Retail tubs 8oz and 16oz
Food Service/Bulk packaging (5lb bags)
Food Service/Bulk packaging and Retail tubs
Billing Address
*
Shipping Address
If different than Billing Address.
Sales Tax ID
*
Form E-595E
*
Please attach Form NC E-595E (Sales & Use Tax Exemption Form)
https://www.dornc.com/downloads/fillin/E595E_webfill.pdf
Buyer Name
*
Buyer Phone
*
Buyer E-mail
*
Accounts Payable Contact
*
Accounts Payable Phone
*
Accounts Payable E-mail
*
Who referred you to this form?
How did you hear about Roots?
*
Send me a copy of my responses
Email address
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