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* landscaper/designermaintenance gardenerlandscape architectgeneral contractorhome builder/developerretail nurserygolf course/country clubmunicipalityschool/universityvineyard/wineryproperty managementarborist Billing Address* City* State* ZIP code* Phone* Fax Email address for plant orders & estimates* Email address for invoices & credits* Email address for statements* Would you like to be enrolled in paperless statements? 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. Comments How did you hear about us?
