Wholesale Account Application

Wholesale Account Application
Note: You will need a copy of your current TPT License and a completed Arizona Resale Certificate (Form 5000A) to complete this application. Please have these documents ready before proceeding.
You can find the Arizona Resale Certificate (Form 5000A) that is required here:
Please provide a copy of your current Arizona transaction privilege tax (TPT)*

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Form 5000A - Arizona Resale Certificate. *

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Name of Business*
Number Of Years In Business*
Account Contact Name*

First NameLast Name
Account Contact Email Address*
example@example.com
Account Contact Phone Number*
Please enter a valid phone number.
Primary Address For Business*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Type Of Business*
Does Business Have A Storefront?*
Please provide a brief description of your business.*
Business Website Address*
Business Social Media Page(s)*
Estimated total purchases in flowers and supplies last year*
Check Acceptance Policy Acknowledgment

We gladly accept business checks for payment; however, any check returned by the bank for insufficient funds, stop payment, or account closure will result in a $100 returned check fee. After such an occurrence, the customer’s account will be placed on a non-check payment status, and all future purchases must be made by credit card, debit card, or cash only.
Initial here to acknowledge and agree to our Check Acceptance policy: *
Credit Policy Acknowledgment

To ensure timely and accurate processing of credits for damaged or poor-quality fresh cut flowers, please follow the procedures below:
- All credit requests must be communicated to your Wholesale Representative within 24 hours of receiving the product.
- Photos are required and must be sent via email or text within 24 hours. Credit requests submitted without photos will not be accepted.
- Do not discard any product until your Wholesale Representative has spoken with you. If you are on our delivery route, the product will be picked up.
- All credit requests must be approved by management before a credit is issued.
- For questions about this policy or any other matter, please contact your Wholesale Representative directly.
Any credit request that does not comply with the above procedures will not be granted.
Initial here to acknowledge and agree to our Credit policy: *
Processing Fee Policy Acknowledgment

A 3.2% processing fee will be applied to all orders paid with a credit card.
To avoid this fee, we also accept the following payment methods:
- ACH
- Zelle
- Cash
- Check
By choosing one of these alternative payment methods, you can complete your purchase without incurring the processing fee.
Initial here to acknowledge and agree to our Processing Fee policy: *
Date*

MonthDayYear
Date
Signature*

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Wholesale Account Application

Note: You will need a copy of your current TPT License and a completed Arizona Resale Certificate (Form 5000A) to complete this application. Please have these documents ready before proceeding.