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