Wholesale Account Application

Thanks for your interest in Taylor's Nursery. To apply for an initial wholesale account, please complete and submit the following form.

Shipping Information
*  Contact First Name:
 *  Contact Last Name:
 *  Company Name:
*  Street Address:


Street Address 2:
 *  City:
 *  State/Province:
 *  Zip:
Country
Billing Information

*  Billing Street Address:

 *  Billing City:
 *  Billing State/Province:
 *  Billing Zip:
*  Telephone:
 *  Billing Company:
 *  Billing Name:
* Select an Appropriate Business Category
Nursery     Re-Wholesale Center     Landscape Contractor     Landscape Architect     Garden Center     Government     General Contractor     Irrigation Contractor     Other    
* If 'Other' was selected as Business Category, please describe:
Account Login Information
*  Contact Email
 *  Password

**Must be 6+ characters and contain
at least one number. 		*  Confirm your password by retyping it:
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