Request for Poplar Farms
 Wholesale Catalog

Please complete the form in it's ENTIRETY. A representative from Poplar Farms, Inc.
will VERIFY the information submitted prior to sending a catalog.

You are REQUIRED to submit a FEIN Number with this request form.

Incomplete forms or requests that do not include a valid FEIN number will be disregarded.

ALL SPECIFIC INQUIRIES REGARDING CURRENTLY AVAILABLE STOCK SHOULD BE DIRECTED TO OUR WATERMAN OFFICE VIA PHONE OR FAX FOR IMMEDIATE ATTENTION!!

Phone: (815) 264-8877
Fax: (815) 264-8866

A valid FEIN number will be required to complete your catalog request

Name:*

Business Name:*

Street (Mailing) Address:*

City:*

State

Zip Code:*

Phone Number*

FEIN or Business License Number:*

Email Address:*

Brief Description of Your Business