New Customer Form

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New Customer Form

Note: Each field is required on this form.

First Name

Last Name

Your Job Title

Your Email Address

Your Phone Number

Preferred Method of Contacting You

About Your Business

Company Name

Company's Website

Company's Shipping Address (No home addresses or PO boxes)

What should we know about your business?

What types of customers do you sell to? Chain Restaurants Convenience Stores Grocery Stores Healthcare Hotels Prisons Independent Restaurants Schools Vending Other

What "other" types of customers do you sell to?

What countries do you sell to?

What companies do you primarily purchase from?

Do you belong to a buying group?

Are you an online distributor?

Do you operate a retail store that is open to the public?

Do you have a loading dock that is accessible to a 53-foot trailer?

Do you have an electronic or manual pallet jack?

Do you have a forklift/HI-LO?

If you see a timeout error after submitting the form, please do not be concerned or resubmit your form. We will still receive your information. If you don't hear from Dot within a week of submitting the form, please contact us. We apologize for the inconvenience and are working on a solution.

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