Becky Geis's
Heart of Newburgh
121 Plum St.
Newburgh, IN 47630
812-853-5533

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Wholesale pricing will be provided to qualified dealers.

 

Business Name
Street
City
State
Zip Code
Telephone # +
Fax# +
E-Mail Address
Retail Merchant Certificate #
Number of Years in Business
Type of Business Wholesale Retail
   
Owner's Name(s)
SS# May be sent seperately or phoned in
Contact Name
Account Payable Name
Account Payable Number
   

OUR TERMS ARE COD OR CREDIT CARD (VISA, MASTERCARD, DISCOVER, AMERICAN EXPRESS)