Clone of CMFC-Wholesale Account Application Form

Restaurant/Grocery: Wholesale Application Form

Thank you for your interest in Maryland Flower Connection. Please fill out the application form with your business details along with the restaurant, grocery, or caterer inquiry, depending on your type of business.
Legal Business Name*
Trade Name (if different)
Owner's Name*

First NameLast Name
Point of Contact for Orders*

First NameLast Name
Phone Number*
Secondary Phone Number
E-mail:*
Physical Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website:
EIN Number
Sales & Use Tax Number
Type of Business*

Grocery StoreRestaurantCafeCatering companyOther
Years in Business*

0-5 years6-10 years11-20 years20 plus years
Does your business have other locations?
Do you currently source locally grown? What are you looking forward to the most when buying local?*

0/500
Attach any certificates/licenses here

Browse Files

Cancelof
Grocery Store inquiries:

Bouquets are delivered weekly in buckets. Each bucket holds five bouquets.
For grocery store bouquets, what subscription length are you most interested in?

4 weeks8 weeks12 weeksOther
For grocery store bouquets, how many bouquets are you interested in weekly?

101520Other
Is there a delivery day that works best for your business?
For holidays such as Mother's Day, do you often purchase more than usual?
For restaurant inquiries:

Flowers are provided in bulk buckets, "Farmers Choice" style. Meaning, we select the best blooms for that week. The varieties and colors can range from week to week. Each bucket holds approximately 60 stems of flowers.
For restaurants, what subscription length are you most interested in?

4 weeks8 weeks12 weeksOther
For restaurants, how many bulk buckets are you interested in weekly?

OneTwoThreeOther
Is there a delivery day that works best for your business?
For Caterers:

Edible flowers will be delivered in a 8 ounce cellophane container which holds approximately 30-40 blooms.
For caterers, how many containers are you interested in weekly?

OneTwoThreeFour or more
Is there a delivery day that works best for your business?
Should be Empty:

Restaurant/Grocery: Wholesale Application Form

Grocery Store inquiries:

For restaurant inquiries:

For Caterers: