Kombucha Brewery Wholesale Account Setup

Kombucha Brewery Wholesale Account Setup — Form Fields

This business template includes 10 fields. Wholesale account application for retailers wanting to stock craft kombucha. Free to customize and use on ZenBuild.

• Business Name (text, required)
• Contact Person (text, required)
• Email (email, required)
• Phone Number (text, required)
• Business Address (text, required)
• Business Type (dropdown selection, required) — options: Health Food Store, Grocery, Cafe, Restaurant, Juice Bar, Gym, Co-op
• Estimated Monthly Cases (number, required)
• Flavors of Interest (checkboxes, optional) — options: Original, Ginger Lemon, Berry Blast, Turmeric Tonic, Green Tea, Lavender Mint, Seasonal Variety
• Delivery Preference (dropdown selection, required) — options: Weekly, Bi-Weekly, Monthly
• Resale License Number (text, required)