Fill out this form to become an Brazos Market Instagram shopper!
Our Instagram will be the most current and updated site to shop our latest products. For your convenience, we have created a VIP shopping experience that will make shopping with us easier than your wildest shopping dreams. 

After filling out this form, you will never have to enter your cc information again unless your cc needs updating. We will send you an email if that happens. 

Your file will be securely kept on record so that in the event that you would like to purchase something you see on Instagram, all you have to do is send us a direct message of the item with the word "Want!" and we will get it packed up and shipped your way. 

Let's get shopping!

Name *
Name
Phone *
Phone
Shipping Address *
Shipping Address
Billing Address *
Billing Address
We will store your credit card number for future purchases through Instagram. If you are uncomfortable with this approach, you can choose to receive a PayPal invoice instead by clicking the box below.
PayPal Option
We will send an invoice to the provided email address above.
Agreement *
I agree to allow Brazos Market to hold the given personal information in this form. I understand that Brazos Market will not be held responsible for any charges made outside of Brazos Market. Should I change my mind on an item that I have purchased, Brazos Market will provide a refund that complies with their store policy.