Customer Application Form Company Name* Contact Name* Contractor License # (if applicable) Would you like to set up online account access? YesNo If yes, please create your desired username Business type* landscape contractormaintenance gardenerlandscape architectlandscape designergeneral contractorarboristhome builder/developernurserygolf course/country clubmunicipalityschool/universityvineyard/wineryother If other, enter business type here Billing Address* City* State* ZIP code* Phone* Fax Email address for plant orders & estimates* Email address for invoices & credits* Email address for statements* You’re welcome to shop at any of our locations, but which do you consider your primary store?* San RamonPetalumaClementsMorgan HillRosemeadRedondo BeachFillmoreFarmingtonCarmel ValleyOceansideOrangeSan Juan CapistranoVista How would you like your statements delivered?* PrintedEmailedBoth Do you prefer a Spanish speaking salesperson?* YesNo Are your purchases taxable?* YesNo If no, please provide a signed copy of your resale certificate, or complete the Resale Certificate Form *We will charge tax until we have received your resale license and will not refund tax for purchases done prior to getting your license on file. Will your purchases require a PO?* YesNo If you use blanket PO’s, please enter PO# Please upload a scan or photo of your business card or a signed copy of your Resale Certificate (if applicable). File Format: JPG, Max file size: 5MB Additional Information to Help Us Verify Your Business List your Website or Professional Profile URL (LinkedIn, Houzz, etc.) Other Wholesale Supplier(s) You Work With Δ
