Dealer Sign-up Form

Fill out the Customer Profile form.

Dealer Signup Form

Order Form

Download and print the order form.

The Dutch Kettle jams and jellies order Form

Tax Exemption Form

Download and print the Tax Exemption Form.

Tax Exemption Form for The Dutch Kettle

How to submit your forms

You can submit the forms 3 different ways:

Fax: (336) 468-8423

Mail to: 5016 Hunting Creek Church Road Hamptonville, NC 27020

To submit your order form attach it to the form below.

Become a Dealer

Interested in becoming a dealer?
Fill out the Dealer Application.
Already a dealer?
Download & print order form and tax exemption form.