Mears Floral - Home

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User Registration

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Name

Username

Password

Minimum Requirements — Characters: 8

Confirm Password

Email Address

Company Information

Current Customer

Current Customer?

Customer Number

What is your customer number?

Company Name

What is the name of your company

Main Contact

What is the name of the main contact person?

Email List

Yes

Please add me to your email list

Address 1

Address 2

Address 2

City

City

State

State

Country

Country

Postal/Zip Code

Postal/Zip Code

Phone

Phone

Fax

Business License Number

Are you a floral shop

What is your Reseller Permit Number

Names of People allowed to Buy

Names of People allowed to Buy

Do you have a different Billing Addres?

Check if Billing Address is Different

Do you have a different Billing Address?

Billing Address 1

Billing Address 1

Billing Address 2

Billing Address 1

Billing City

Billing City

Billing State

Billing State

Billing Country

Billing Country

Billing Postal/Zip Code

Billing Postal/Zip Code

Billing Phone

Billing Phone

Have you faxed the application form?

Yes No

Have you faxed the application form?

Have you faxed a copy of your reseller permit?

Yes No

Have you faxed a copy of your reseller permit

Are you a floral shop?

Yes No

Are you a floral shop?

Do you have a storefront?

Yes No

Do you have a storefront?

Are you a gift company?

Yes No

Are you a gift company?

Do you have a warehouse facility?

Yes No

Do you have a warehouse facility?

Do you have anything to add?

Do you have anything to add?

How did you hear about us

How did you hear about us