Become a Customer

Thanks for your interest in Eastland Food! The new account application below is the first step toward becoming a customer with us. Simply fill out the form below and we’ll contact you as soon as possible.  

Please send in your application along with a copy of your business license, trade references, and blanket resale certification. If you have any questions please don’t hesitate to contact us.

Click here for download application form
Click here for download Blanket Resale Certificate form

New Account Application

Owner Information:

Name Branch City&State Phone Number
1
2
3
Shipping Information

Customer must provide safe and adequate unloading facilities for Eastland Food Corporation delivery equipment.




Spell Check

I/We hereby affirm that the above information is true and authorize Eastland Food Corporation to verify information provided. I/We authorize my/our trade references to release credit and financial information to Eastland Food Corporation. Upon approval of credit, I/We agree to pay in full and in accordance with the terms of payment indicated on Eastland Food Corporation invoices.