Customer Application Form - Berkeley Florist Supply

Wholesale Flowers and Supplies to the Floral Trade

Apply to become a wholesale business customer and see our price list. Please apply if you are a florist and have a tax ID number for tax-exempt benefits. Please note we are open to all floral creatives; you do not need a business license to purchase from us, but to benefit from tax exemption and special pricing, you must.

Application must be signed. You can either print, sign and send it to us via email or fill out the form below and sign it when we deliver to you or you come visit us at our store.

Download Application

Business Contact Information

Business Name *

Title

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Business Start Date *

Years at Current Address

Selected Value: 0

Type of Business *

Sole Proprietorship
Partnership
Corporation
Other

Credit Information

Bank Name *

Account Number *

Type of Account

Checking
Savings
Other

Accounts Payable Information

Person in Charge of Accounts Payable *

Phone *

Extension

Business/Trade References

Company Name 1 *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Company Name 2 *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Company Name 3 *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Signatures

Title:	Date:	Title:	Date:

All invoices are to be paid 30 days from date of invoice.
Claims arising from invoices must be made within 7 working days.
By submitting this application, you authorize Berkeley Florist Supply to make inquiries into the banking and business/trade references that you have supplied.
Applying does not automatically make you a wholesale customer; we will get back to you within 10 days.

Wholesale Flowers and Supplies to the Floral Trade

Business Contact Information

Credit Information

Accounts Payable Information

Business/Trade References

Signatures