Wholesale Account Form

The Floral Source is a Business-to-Business (B2B) company, and requires our customers to be a registered business. In addition to completing this form, we must also collect a completed W-9 Form and Sales & Use Tax Exempt Form for the state in which you operate your business.

Please complete the form below

Contact Name

First Name

Last Name

Business Name

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Website

http://

Email

Phone

(###)

###

####

W-9 & Tax Exempt Form

I understand that I must submit a W-9 and a completed Sales & Use Tax Exempt Form to complete my wholesale account. A Sales & Use Form can be found on your state's Department of Revenue website, or from the link located at the top of this form.

FEIN

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