RPIA Application Form

The RPIA Group - Makers of Bakers Own® Brand

Over 75 Quality Minded Bakeries. Each Member Qualifies With A Minimum Sales Volume of Over One Million Dollars/Year in the US and many members have multiple locations.

RPIA Application Form ($600 - includes 1 year dues of $400)
If your company is approved for membership we will
send you a link to pay $600 fee for application and one year dues

RPIA Application Fee - required to take advantage of RPIA rebate and discount programs, etc.

All information will be kept confidential. RPIA members are represented as having sales volume of over 1 million dollars per year and paying all invoices within 30 days of receipt of merchandise. To assure RPIA buying power any member unwilling or unable to meet these terms may be asked to withdraw from RPIA. As a condition of membership you will be asked from time to time to complete a survey of your usage of certain products. Please respond ASAP when these surveys arise.

Application Form

Click Edit Form to add form elements. You can enter a form description and instructions here.

Contact 1 first name:
Contact 1 last name: *
Contact 1 email address: *
Contact 2 first name:
Contact 2 last name:
Contact 2 email address:
Company name: *
Doing business as:
Web Site (www.yourdomain.com):
Address Line 1: *
Address Line 2:
Address Line 3:
City: *
State (2 letters): *
Zip Code: *
Business Phone: 999-999-9999: *
Business Fax: 999-999-9999:
Cell Phone: 999-999-9999:
Annual Sales Volume (min 1 million dollars): *
Avg monthly mix usage (in pounds):
Type business: (retail bakery, deli, etc): *
Sq Ft of storage for materials:
Number of locations:
Have central plant for deliveries? (Y/N):
Have a loading dock? (Y/N):
Have Pallet Jack? (Y/N):
Can handle palletized delivery? (Y/N):
Have a Hi/Low? (Y/N):
How often do you order most materials:
Billing Address Same? If not, enter below (Y/N):
Billing Company Name:
Billing Address Line 1:
Billing Address Line 2:
Billing Address Line 3:
Billing City:
Billing State (2 letters):
Billing Zip Code:
Tell us about yourselves; experience; years of baking; goals for joining RPIA; programs of RPIA you are interested in.:
Invited By (you need not be invited to join):