Form For Stores That Want To Sell Walden Farms
Store or Business Name
(provide website, if any, even if product will not be sold online)
Position / title
Owner's name (If different than contact
Store phone (necessary)
(xxx-xxx-xxxx) Mobile phone (optional)
Which phone do you prefer to
be called on?
E-mail (secondary, if any)
How do you sell products?
Online / website / e-commerce
brick-and-mortar and online stores
Type of store or business. Check all that
apply or one that best describes:
Boutique / gift / flower shop
Diabetic foods or supplies
Dietician / nutritionist
Distributor (warehouse, wholesaler)
Fitness club / gym / personal trainer
Grocery / supermarket / market
Health food / nutrition
Home office / ran from residence
Hospital or medical facility for meal prep / food service
Hospital or medical facility with weight loss or special program for health
Ice cream / yogurt
Meal prep / food service
Sugar-free / low carb / gluten free
Sports nutrition / vitamins / supplements
Weight loss If any specific diet or protocol is used, please
store is not currently open for business, what is approximate date to
If business is run from residence or home office, tell us a
little about your business
How did you hear about Walden Farms?
comments. Is there anything else you want us to know?
Thank you for your
interest and taking time to contact Walden Farms!
information will not be sold or shared