Customer Code:  (if an existing CPF Customer)
Business Name:
Street Address:
City:
State:
Zip:
Personal Name:
Job Title:
Business Phone:
Fax:
eMail address:
Year Business Established:
State Resale Tax ID#:
Primary Type of Business:
I Operate this Business from:
Number of locations:
Corporate Associations 800-Flowers corporate owned store
800-Flowers Bloomnet - Member# 
Types of Products Sold:
(check all that apply)
 Fresh Cut Flowers by the stem
 Fresh Flower arrangements
 Premade Fresh Flower bouquets
 Fruit Baskets
 Gourmet Baskets
 Candy
 Non-perishable gifts