Name * First Name Last Name Company Name * Website * http:// Email * What type of business do you have? * Retail Store Nursery & Garden Center Online Store Home Other How many years in business? Less than a year 1 - 3 years 4 - 6 years 7 - 10 years 11 - 20 years Over 20 years Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Tax ID / EIN * Tell us about yourself so that we can verify your business Identity * Please include any relevant information such as social media handles. Terms and Conditions * By applying for a wholesale account and checking the box below, you agree to the terms and conditions found at www.planthaulshop.com/wsterms Yes, I agree to the terms and conditions at planthaulshop.com/wsterms Thank you for submitting an application. We will verify your information and get back to should you qualify for a wholesale account. By applying for a wholesale account, you agree to our terms and conditions
