Leo Berbee Bulb Company

Wholesale Application

Please Note:

- We do not sell to homeowners.

- Sorry, international shipping not available at this time.

- Please have your tax ID (EIN or SSN) and state exemption form handy to establish your tax exempt status so that we may process your application. Failure to provide needed documentation will delay the application process.

Billing Information

First Name *

Last Name *

Company Name

Phone *

Country *

Street Address *

Postcode / ZIP *

Town / City *

State *

Shipping Information

Same as Billing Info

First Name *

Last Name *

Company Name

Phone *

Country *

Street Address *

Postcode / ZIP *

Town / City *

State *

Account Login Information

Account Email *

Account Password *

Password Confirmation *

General Information

Customer Type - Select your business type(s) from the options below:
Conservatory/Botanical

Cut Flower Grower

Florist

Garden Center/Nursery/Grower

Landscaper

Municipality

School/Educational

Wholesale Nursery

Additional Notes

Tulip Double Late 'Negrita Double'

Dahlia Ball Dahlia 'Jowey Chantal'

Wholesale Application

Billing Information

Shipping Information

Account Login Information

General Information