BUSINESS NAME:*

CONTACT PERSON NAME:*First:Last:

CONTACT PERSON TITLE:

Contact Person Email:*

Business Website:*

BUSINESS ADDRESS:* Street Address: Address Line 2:
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Briefly Explain Your Business:*

How will you sell Better Than Coffee® Products?* OnlineIn-StoreOther

If other, please explain:

What is your primary business focus? Select:*Physical store where customers come to your locationE-commerce business where customers use your website to make a purchase

If your primary business focus is as Physical Store, which of the below best describes your business (Please choose the following from the descriptions below): *Natural GrocerySpecialty GroceryGeneral GroceryOther GrocerySupplement Only RetailerHealth Food & Supplement RetailerKitchen/ Specialty Store RetailerCrossFit GymTraditional GymSpa/Health & BeautyMedical Doctor PractitionerAcupuncturist PractitionerHolistic PractitionerNurse PractitionerOther PractitionerCoffee Bar/CoffeeHouse/Counter Service Cafe Restaurant Juice Bar Restaurant Natural/Organic Restaurant Paleo Café RestaurantSit Down RestaurantLodging/Hotel/Bed & Breakfast RestaurantFood Truck/Mobile OperationRestaurant Catering or Concessions RestaurantOther Food Service Restaurant

Does your physical store have more than one location?* YesNo

How many stores do you have?*

Upload Business Permit/License:*

Upload Resale License if applicable:(In order to be tax-exempt for when applicable)

Authorized Resellers shall not sell or distribute the Better Than Coffee® products (a) to other wholesalers, distributors, or other resellers; (b) through third-party websites (e.g. Amazon); or (c) by using drop-shipping or other similar selling practices. Further, Authorized Resellers are prohibited from, either directly or indirectly through third parties, selling or distributing Better Than Coffee® products through auction services (e.g. eBay), multi-level marketing
I agree to the above Terms of Service.

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