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My Flying Dutch Flowers

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My Flying Dutch Flowers

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Become a customer

Flying Dutch Flowers wants to help you create the most beautiful bouquets and floral arrangements. Create a customer account and discover which product range suits you best. Discuss your wishes with one of our account managers and – above all – let yourself be inspired!

Legal Company Name *

Trade Name or DBA Name *

Tax ID [FEIN/EIN]: *

DUNS Number

Upload here your signed Resale certificate *

Choose file

or drop here

Street Address *

City *

State *

Zip Code *

Phone *

Fax

Primary Email Address *

Confirm Email Address *

Legal Form of Company (check one): *

LLP

LLC

Incorporation (INC.)

Single-Proprietorship

Other

Legal Form of Company (check one): *

please specify

Company Hours

Owner's Name *

Buyer's Name *

Buyer's Cell Phone Number

Buyer's Email *

Accounts Payable Contact *

Accounts Payable Phone *

Email Address for Invoices & Statements *

Fresh Flower Purchasing Credit Reference(s):

Company name, Phone, Fax & Contact Name:

I accept the terms and conditions*

Choice *

Weekly Credit Card Charge (CC users must complete authorization section below. Please fill out ALL items.)

Monthly credit card charge

Other, to be determined by a later date

Other

Choice *

Type your answer

Credit Card Billing Authorization:

Company Name/Name on Credit Card

Person Authorizing

Credit Card Type (select one):

Visa

MasterCard

American Express

Credit Card Number

Expiration Date (MM/YY):

CVV Number (3- or 4-digit code from back of card):

CREDIT CARD BILLING ADDRESS:

Street Address

City

State

Zip Code

Email Address

Phone Number

Fax Number

Do you currently purchase Dutch flowers? Please select one: * *

No, I do not currently purchase Dutch flowers

Yes, via local wholesale

Yes, direct

If you currently purchase Dutch flowers, what is your approximate annual purchasing amount?

$5,000 to $20,000

$25,000 to $100,000

$100,000 +

When do you plan on placing your first order with Flying Dutch Flowers? *

1-2 weeks

2-4 weeks

Just here to Browse

Please sign below. Please type your name in the space provided.

The undersigned is the duly authorized representative for the credit card provided above

Name *

Typed Signature (Your name here will serve as legal authorization)

Date *

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About Flying Dutch Flowers
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Contact

Disclaimer & Conditions
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Flying Dutch Flowers B.V.
Cotoneaster 12
1424 LB De Kwakel
The Netherlands
Email: info@flyingdutchflowers.com

Kvk: 16080517
VAT: NL804132823B01

We respect your privacy

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For more information, please read our Privacy Policy and Cookie Policy.