This section of the Vendor Profile Form is to collect all data pertinent to your company's business in order to do business with Tassili's Raw Reality Cafe located at 1059 Ralph David Abernathy Blvd. SW Atlanta, GA. 30310.

Company Name *

Type of Business *

Contact Number *

Company Email *

Business Address *

W9 Upload *

Accounting Info (please submit email finance@tassilisraw.com)

Third Parties Name ( if applicable)

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Product Liability

This portion of the New Vendor Profile is to capture insurance information and documents.

Name of Product (s) *

Product Liability Insurance Carrier *

Policy Number *

Coverage amount *

Proof of documentation *

Product Recall Contact Information (name, email and phone number) *

Product Type *

Consumable

Non-consumable

Compliance (State and Federal) Documentation *

Product Guarantee

Does your product have a guarantee *

Yes

What is your product guarantee? *Note: All products should have a guarantee. *

Schedule Site Visit or Zoom Call (please choose three possible dates)

Schedule Site visit (1) *

Schedule Site visit (2) *

Schedule Site visit (3) *