New Customer Form

Please fill out the below form if you would like to start buying product from Dot.

If you are a current customer and would like access to DotFoods.com/Shop, click here to fill out that form instead.

Note: Do not use the autofill option from your browser. Our Google Address validator field does not work if you use the autofill. If you come across this issue, refresh your screen and start over without using the autofill.

About You

Your First Name

Your Last Name

Your Job Title

Your Email Address

Your Phone Number

Preferred Method of Contacting You

PhoneEmail

About Your Business

Company Name

Company's Website

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

YesNo

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Where would Dot ship your product?

City

State

Postal Code

Country Code

What types of customers do you sell to?

Chain RestaurantsConvenience StoresGrocery StoresHealthcareHotelsPrisonsIndependent RestaurantsSchoolsVendingOther

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?

YesNo

Are you an online distributor?

YesNo

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

YesNo

Do you have an electronic or manual pallet jack?

YesNo

Do you have a forklift/HI-LO?

YesNo

What else should we know about your business?

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