Contact Person

First Name *

Last Name *

Phone Number *

Mobile Number *

Email Address *

Business Information

What specific products are you looking to purchase?

Nature of Business *

Business Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Shop Phone Number *

Website

Is the shop address the same as the billing address? *

Yes

No

Street Address *

Address Line 2

City *

State *

Zip Code *

Would you like to receive specials and estimated delivery time via email? *

Yes

No

Type of Business *

Employer Identification Number (EIN) *

State Tax No. of Business *

Book-keeper *

Corporate Name *

Owner's First Name *

Owner's Last Name *

Owner's Street Address *

Owner's City *

Owner's State *

Owner's Zip Code *

How long has shop been in business? *

How long have you owned shop? *

How many employees work at business? *

How often do you need plan to purchase? *

Does your business have a commercial store front including the shop name on a sign? *

Yes

No

What are your business hours (example: 8-5 M-F , 8-2 Sat-Sun) *

Please select products that you are interested in purchasing *

Fresh Flowers

Floral Supplies

Plants

What is your preferred method of receiving orders? *

Delivery to retail store fronts (only) in MA, RI, CT, ME, NH, NY

Pick up at Fall River

UPS shipping to all other states or non-store front locations

The states of New Hampshire and Delaware do not issue certificates for resale or tax exemptions. Therefore, if your business is located in NH or DE, you do not need to upload the required forms below. Is your business located in NH or DE? *

Yes

No

Important notice: In order to process your new account, both forms below must be submitted.

Upload your completed State Tax Retail form (STR) *

Upload Your Company's Resale Certificate

How did you hear about us? *

Terms and Conditions

IF PAYING BY CREDIT CARD, PLEASE CALL INTO OUR BILLING DEPARTMENT TO PROVIDE CREDIT CARD INFORMATION THIS DOES NOT CONFER CREDIT TERMS TO THE CUSTOMER. HOWEVER THE CUSTOMER AGREES THAT ANY AMOUNT UNPAID FOR MORE THAN 30 DAYS WILL ACCRUE INTEREST AT THE RATE OF 1.5% PER MONTH WHICH THE CUSTOMER HEREBY CONSENTS TO AND AGREES TO PAY ALONG WITH ANY UNPAID BALANCE. I / WE AGREE TO PAY REASONABLE ATTORNEY FEES AND COURT COSTS FOR COLLECTION OR ATTEMPTING TO COLLECT OR SECURE PAYMENT AND AGREE THAT SUIT MAY BE BROUGHT IN BRISTOL COUNTY, MA. FALL RIVER FLORIST SUPPLY CORP. IS HEREBY AUTHORIZED TO DELIVER GOODS WITHOUT SIGNATURE AND TO CHARGE THE SAME TO MY ACCOUNT. I AGREE, IF ANY CHECKS ARE DISHONORED OR RETURNED FOR ANY REASON, THE AMOUNT OF THE CHECK MAY BE ELECTRONICALLY DEBITED FROM MY BANK ACCOUNT PLUS A PROCESSING FEE OF $30. 00 (OR LEGAL LIMIT). THERE WILL ALSO BE A $20.00 SERVICE CHARGE FOR EACH RETURNED CHECK. LASTLY, YOU AGREE THAT YOU HAVE FULLY READ AND UNDERSTOOD RETURN, TRUCK/MAIL DELIVERY, METHOD OF PAYMENT, CREDIT TERMS, PLACING ORDERS, AND PRICING POLICIES AT https://www.fallriverfloristsupply.com/general-information/.

BY PROVIDING YOUR MOBILE NUMBER, YOU AGREE TO RECEIVE TRUCK DELIVERY ETA NOTIFICATIONS AND ONE-TIME SIGN-IN CODES WHEN YOU USE MYFRFS.COM OR THE MYFRFS APP.

By submitting this form, you confirm that you have read and agree to the above Terms and Conditions.