Business or Wholesale Account Application

Wholesale Account Application
Business Information
Name of Business
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Fax
example@example.com
Tax Exempt
Tax ID #
Tax Exempt
If "Yes", please fill out the attached Arizona Form 5000A
Contact Information

Rows	Name	Title	Number	Email
Contact Person
Authorized Users
Authorized Users
Authorized Users

Additional Business Locations
1. Location
1. Contact Person
1. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Location
2. Contact Person
2. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. Location
3. Contact Person
3. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. Location
4. Contact Person
4. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This form must be completed in full and signed by an authorized user of the credit card. This agreement unconditionally authorizes Albuquerque Flower Market to keep on file the credit card provided herein.

I understand that this authorization will remain in effect until I cancel it in writing and I agree to notify this practice in writing of any changes in my account information or termination of this authorization.

I certify that the above statements and information made in the agreement are true and correct. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.
Check Acceptance Policy

By paying for your purchase from us with your check, you agree as follows: In the unlikely event your check is returned unpaid, you authorize us at our discretion to represent your check for payment from your deposit account either by an electronic funds transfer or, if necessary, by a paper draft.
Account Holder Name

First NameLast Name
Date

MonthDayYear
Date
Signature
Albuquerque Flower Market Credit Policy
Dear Customers,

Please see the procedures below to ensure a timely credit for damaged or poor quality fresh cut flowers.
- All credits must be communicated to your Wholesale Representative within 24 hours of receiving your product.
- Photos must be sent via e-mail or text within 24 hours. We will not accept credit without photos.
- Please do not throw away the product until your Wholesale Representative speaks with you. If you are scheduled on our delivery route we will pick the product up.
- All credit requests need to be approved by management before a credit is granted.
- For any other questions regarding the credit policy or any other matter please contact your Wholesale Representative.
Any credit request that doesn't comply with the information above will not be granted.

Thank you,
Albuquerque Flower Market

By initialing, I understand and agree to the above credit policy.
Initials
Please verify that you are human
Should be Empty:

Wholesale Account Application

Business Information

Tax Exempt

Contact Information

Additional Business Locations

Check Acceptance Policy

Albuquerque Flower Market Credit Policy