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New Customer Request Form
As a wholesaler, we do require detailed information to be able to bring on new customers. Please fill out this form to the best of your ability and we will be happy to process your reuqest as soon as possible.
Business Name
*
Name of Business
First
How would you describe your business?
*
Retail Florist with a Storefront
Home Based Florist
Floral Student
Non Floral Related Business
General Public
GST Number or Calgary Business License Number
Please complete if applicable.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
Email
*
Website
Facebook
Instagram
Have you purchased from other floral wholesalers?
*
Please provide company name(s)
How did you hear about us?
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