Treloar Roses Business Registration
Wholesale application for online ordering
Please complete the form below to register for a wholesale account
Company Name
*
Directors Name
*
ABN/ACN
*
Company Type
*
Sole Proprietorship
Partnership
Corporation
Other
What type of Business do you own/manage
Nursery
Landscaping
Cut Flower
Council
Other
Phone Number
*
E-mail
*
example@example.com
Company Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Business and Credit Information
Accounts Payable Contact
*
First Name
Last Name
Accounts Payable Phone
*
E-mail
*
example@example.com
Company to Bill Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you require a purchase order on your Tax Invoice to be able to make payment?
*
No
Yes
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Councils only
Purchasing contact Name:
Contact Number
E-mail
example@example.com
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Agreement
(By checking these boxes you are agreeing to our terms - should you have any questions please contact us)
I understand that
*
a 25% deposit is required when placing an order (for all new customers). plants will not be reserved until deposit is paid
New customers are required to pay before their order is despatched
Enter the word as it's shown
*
Signature
Submit
Should be Empty: