Retailer Sign Up

Are you interested in being a supplier of Patty’s Patties products?  Fill out the form below and we will contact you as soon as possible.

Please do not send credit card or sensitive information through the contact form.  If you want to place an order, please include your phone number and we will contact you to get payment information.  Thanks!

Your Name (required)

Your Email (required)

Your Retailer Name (required)

Retailer Address

Phone Number (required)

Please Prove You Are Human!