Wholesale Account Information Form

SO YOU'RE READY TO START YOUR WHOLESALE ACCOUNT

Be sure to read our Wholesale Service Agreement, then fill out the form below and a team member will reach out to schedule your first delivery!

Contact Name

Contact Email

Business Name

Billing Contact Name (Who will be receiving invoices?)

Billing Email Address (Where will invoices be sent?)

Delivery Contact Name (Who will be present to receive orders?)

Delivery Contact Number

Delivery Street Address

City (We deliver to Austin, TX proper and select surrounding areas.)

Zip Code

Special Parking/Delivery Instructions (Please include any noteworthy instructions, as well as any hours of operation that differ from M-F 9AM-5PM.)

How would you like to place your order? (Choose One)

How would you like to pay for your order? (Choose One)

Tiny House Equipment Rentals (What parts of the kegerator system do you need Tiny House to provide?)

I would like to receive update emails from Tiny House about new products, happenings, etc.

I have read, understand, and consent to the Tiny House Wholesale Service Agreement.

Message (Optional)

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