Registration

Registration

Company Name:	*
Username:	*
E-mail:	*
Password:	*
Verify Password:	*

Billing

Contact

Address

City

State

Zip

Country

Phone

Fax

Shipping ( if not same as Billing)

Company

Address

City

State

Zip

Country

Phone

Fax

Memo: We like to know who we're dealing with. Please tell us about your business. One or two sentences is just fine.

Additional Documents Submitted

Washington State Businesses: We need to receive a copy of your Resellers Permit in order to sell to you without sales tax. Please fax to (253) 472-9758 or call if you have questions (800) 351-5515

Business License / Tax # (Commercial Accounts)
Resellers Permit # (For non-taxable sales)
Names of Authorized Buyers

Registration Type	Personal Commercial
Can we add you to our email lists?	No Yes

Are you a current customer?	No Yes

Web Address

By clicking the Register button, I agree to the
Terms and Conditions of the Washington Floral Services website.
You will receive an email to activate your account once your application has been approved.

Salesman
Credit Limit
Price List
Farm Direct Markup %(i.e. 40.00)
Show Farms	No Yes
Allow Direct PO	No Yes

Fields marked with an asterisk (*) are required.