Treloar Roses Business Registration
Wholesale application for online ordering
Please complete the form below to register for a wholesale account
ABN
*
ACN
Company Name as per ABN
*
Trading Name as per ABN
*
Directors / contact name
*
Landline Phone Number
*
-
Area Code
Phone Number
Mobile
*
Format: 0000-000000.
E-mail
*
example@example.com
Company Type
*
Sole Proprietorship
Partnership
Corporation
Other
Trust
What type of Business do you own/manage
Nursery
Landscaping
Cut Flower
Council
Other
How many plants per season do you estimate you will purchase?
*
0-50
51-100
101-500
1000 +
What will be your estimated spend per season be?
*
Tell us about your business and what you will used the rose plants for (the more information you give the easier for us to approve)
*
Business website or Social media link
*
Facebook or insta name:
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
*
Format: (000) 000-0000.
Accounts Payable 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
Format: (000) 000-0000.
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
Approved for online access
Please Select
Approved
Not Approved
Pending
Type a question
Accrivia account setup
Submit
Should be Empty: