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Hector@lakeshoreprovision.com

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Lake Shore Provision

Home
Become a Customer
Contact Us

Terms & Conditions
About Us

Become a Customer

Wholesale & Foodservice Accounts Only

Prices subject to market changes. Product availability may vary by season. Account approval required prior to fulfillment.

Become a Customer Application

Business Name:

Owner Name:

Phone:

Email:

Business Address:

Business Type:

Estimated Weekly Spend:

Tax ID (optional):

Preferred Ordering Method:

Preferred Delivery Days:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Resale Certificate Available:

YES

NO

Resale Certificate:

New Credit Terms Requested:

Product Interests:

Fresh Produce

Specialty Produce

Herbs

Grocery Items

Foodservice Supplies

Fresh Fruit

Message:

Thank you for applying with Lake Shore Provision.

Your application has been received and is currently under review.

A representative will contact you shortly with next steps.

Account approval is required prior to ordering.

Oops, there was an error sending your message.
Please try again later.

By submitting this application, you agree to our
Terms & Conditions.

© Lake Shore Provision LLC
Wholesale & Foodservice Distribution
Prices subject to change. Availability may vary by season. Account approval required.

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