Contractor/Wholesale Application Form

Contractor/Wholesale Application Form

Please complete and submit this form to apply for a wholesale or contractor account, or to update your existing company information with our greenhouses. This application is intended for landscapers, garden professionals, and businesses interested in our wholesale division for tropical plants and succulents.
Company Name*
Nature of Business*
Applying For (Select All That Apply)*

Contractor Discount: 20% OFF Perennials, Shrubs and TreesTropical & Succulent Wholesale Account
If 'Other', please specify
Renewing Account Information OR New Application*

Updating Account InformationNEW Account Application
Company Full Address*

Street Address

Street Address Line 2
CityProvincePostal Code
Business Number*
Contact Name*

First NameLast Name
Phone Number (Best to Contact)*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address (Best to Contact or Receive Availabilities)*
example@example.com
Email Address for Accounts Payable*
Authorized Buyers for Company

First NameLast Name
Authorized Buyers for Company

First NameLast Name
Authorized Buyers for Company

First NameLast Name
I understand that Robert Plante Greenhouses does not offer credit terms (unless pre-approved), and that all purchases must be paid in full prior to pickup or delivery, or at the time of purchase when buying perennials, trees, and shrubs in person.*

Yes, I understand.
Date*

MonthDayYear
Date
Signature*
Should be Empty: