New Customer Application

New Customer Application
Legal Business Name*
DBA (if applicable)
Contact Name*

First NameLast Name
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address (leave blank if same as billing)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
[email protected]
Business Type*
Operating Seasons*

SpringSummerFallWinter
Approximate Monthly Plant Sales*
Resale Certificate*

A valid resale certificate (or equivalent form for your state) is REQUIRED. Submissions without this form will not be considered.
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