Locate a Retailer

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Before You Begin

Make sure you have:

Contact Info
Desired Product
Type of Pet(s)

Brown's Pet Food aims to make our products easily accessible to every customer.

Name of Firm/Individual

Key Contact Person

First Last

Email*

Phone*

USA Business Mailing Address

Street Address Address Line 2 City State ZIP Code

USA Shipping Address

Street Address Address Line 2 City State ZIP Code

Business Type (Please Check One)

Corporation - State Incorporated In

Partnership - Social Security Number

Sole Partnership - Social Security Number

State*

EIN #*

Social Security #

How Many Principals, Officers or Partners?

Only Me

Two

Three

Four ( or more )

Name (1)

Position (1)

Name (2)

Position (2)

Name (3)

Position (3)

Name (4)

Position (4)

Three Credit References

Please provide the Name, Fax, Phone and Address of three companies that extend credit to you.

Firm Name (1)*

Phone (1)*

Fax (1)

Address (1)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Firm Name (2)

Phone (2)

Fax (2)

Address (2)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Firm Name (3)

Phone (3)

Fax (3)

Address (3)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bank Name*

Bank Phone*

Bank Fax

Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Person to Contact

Account Number #

YOUR DIGITAL SIGNATURE*

YOUR TITLE / POSITION*

TODAY'S DATE

YOUR AUTHORIZED SIGNATURE*

YOUR TITLE / POSITION*

YOUR COMPANY NAME

(IF APPLICABLE)

TODAY'S DATE

Lastly, click 'Apply' to send us your application.

F.M. Brown’s Sons, Inc.® 205 Woodrow Avenue Sinking Spring, PA 19608 +1 (800) 334-8816 petinfo@fmbrown.com www.fmbrown.com