Pickle, Jam & Salsa Kitchen Vendor Application

Boutique Vendor Mall - Pickle, Jam & Salsa Kitchen Vendor Application

BECOME A VENDOR WITH US!

Which Vendor are you applying for?

Boutique Vendor Mall

Pickles, Jam & Salsa Kitchen

All Wax Candle Company

Vendor Shop Company Name or Independent Contractor Name

First Name

Last Name

All vendor shop owners must be at least 18 years old to register online shop. Are you at least 18 years old?

Yes, I am at least 18 years old.

No, I am not 18 years old.

Birthdate

Phone Number

Driver's License

Choose File

Vendor Food Packages

60 Jams - Your cost: $10.58 per jar ($127.00 per case) / 12 jars per case - 5 case minimum = $635.00 includes shipping cost

60 Salsas - Your cost: $10.58 per jar ($127.00 per case) / 12 jars per case - 5 case minimum = $635.00 includes shipping cost

30 Jams & 30 Salsas - Your cost: $10.58 per jar ($127.00 per case) / 12 jars per case - 5 case minimum = $635.00 includes shipping cost

60 Pickles (2 Variety) - Your cost: $13.58 per jar ($67.90 per case) / 12 jars per case - 5 case minimum = $814.80 includes shipping cost

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Credit/Debit Card Information

Expiration Date

CVV

Do you have an TIN?

Yes

Taxpayer Identification Numbers (TIN)

(IMPORTANT) List shop's payment options to process online orders.

What is your lead time on shipping products to cutomers?

What is the best way for customers to get in-touch with you?

Are there any restrictions, or any other information we should know about in regards to business operations?

Upload a logo image for shop's profile

Choose File

Upload an image to display for shop's banner. ( The banner is displayed as a background image in the page header).

Choose File

Upload a profile picture

Choose File

List your mobile payment gateway name to find you to invoice for payment.

CashApp - QR Codes

Choose File

Venmo - QR Codes

Choose File

Zelle Account Name

Choose File

PayPal - QR Codes

Choose File

Chime Account Name

Choose File

Tell us more about your shop.

List Shop's Social Media Profiles

I have read and agree to the Vendor Mall's Handbook, Terms and Conditions and Privacy Policy

Comments

Your Signature and Date