Customer Signup

Welcome to Plainfield Produce! We're thrilled that you're interested in becoming a customer, and we're excited to work with you.

To get started, simply fill out the form on this page. By doing so, you'll be submitting both your customer signup and credit application. We'll review your information and get back to you as soon as possible.

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Step 1

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Step 1

Business Name *

Primary Point of Contact *

Primary Contact Phone Number *

Primary Contact Email Address *

Business Address

Address 1 *

City *

ZIP / Postal Code *

State / Province *

Step 2

Requested Delivery Window (2 hours)

Start Time: *

Hour *

Minute *

End Time *

Hour *

Minute *

Is Key Drop Available?

Yes

Special Delivery Instructions *

Step 3

Select Product Section

Attach File *

Do you already have a product/usage list? If so, please simply upload that file here.

Please select your desired products and quantities.

Select Products

Step 4

Please download our credit application below.

Download Credit Application

Once you have downloaded our credit application please fill it out and upload it here.

Upload Credit Application