Thank you for your interest in becoming a customer at F&T Distributing Company. Please take a moment to complete the brief form below. Once completed you will be contacted promptly by one of our Team Members.

Please Note: F&T Distributing Company does not sell to individuals. If you are an individual looking to purchase in bulk, please visit our Retail Facility, located at 15 Royal Road, Ithaca, NY 14850.

Business Name

Business Type

Convenience Store Retail/Specialty Food Shop Grocery Store College/University Healthcare Facility Caterer Primary/Secondary School Vending Other

First Name

Last Name

Business Address

City

State

Alabama-AL Alaska-AK Arizona-AZ Arkansas-AR California-CA Colorado-CO Connecticut-CT Delaware-DE District of Columbia-DC Florida-FL Georgia-GA Hawaii-HI Idaho-ID Illinois-IL Indiana-IN Iowa-IA Kansas-KS Kentucky-KY Louisiana-LA Maine-ME Maryland-MD Massachusetts-MA Michigan-MI Minnesota-MN Mississippi-MS Missouri-MO Montana-MT Nebraska-NE Nevada-NV New Hampshire-NH New Jersey-NJ New Mexico-NM New York-NY North Carolina-NC North Dakota-ND Ohio-OH Oklahoma-OK Oregon-OR Pennsylvania-PA Rhode Island-RI South Carolina-SC South Dakota-SD Tennessee-TN Texas-TX Utah-UT Vermont-VT Virginia-VA Washington-WA West Virginia-WV Wisconsin-WI Wyoming-WY American Samoa-AS Guam-GU Northern Mariana Islands-MP Puerto Rico-PR Virgin Islands-I U.S. Minor Outlying Islands Federated States of Micronesia-FM Marshall Islands-MH Palau-PW Philippine Islands-PI Trust Territory of the Pacific Islands-TT Commonwealth of the Northern Mariana Islands-CM

Zip Code

Business Phone

Email Address

Existing Business

YesNo

Weekly Purchases - Please estimate your weekly purchases $0 - $500 $501 - $1000 $1001 - $2000 $2001 - or More

Your Message

Verification Code

	Enter the verification code: