GHOST CANYON HOLLOW
* Country Store - Farmers Market *

~ Wholesale Order Info ~

~ No Minimums ~ FREE Drop Shipping ~ Product Guarantee ~

FORM INSTRUCTIONS:   Complete the required information below - print then fax it - or - copy page then click on the email address below then paste it into your email - or - call us.
Phone: 1-605-673-3182     Fax: 1-605-673-3182

. . . We will contact you with your new customer account number within 3 - 5 business days after receipt of your Sales Tax info . . .
E-MAIL       info@ghostcanyonhollow.com

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* REQUIRED INFORMATION *

                                                Business Name:

                                                Website:       E-mail address:

                                                Contact Person:       Phone Number:

                                                Mailing Address:

                                                City:            State:      Zip:

* For wholesale pricing info you must provide your state sales tax number *
                                                SALES TAX ID NUMBER:

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Dave, Jackie & Chris Canfield - P O Box 130 - 11423 Wrangler Rd - Custer, South Dakota 57730 - 1.605.673.3182
E-MAIL: info@ghostcanyonhollow.com