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:
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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