Plant Nursery Retail Vendor Registration Form
Business Information
Nursery Name
Owner/Contact Person
Type of Business
Sole Proprietorship
Partnership
Corporation
LLC
Other
Contact Details
Phone
Email
Website (if any)
Nursery Address
Street Address
City
State/Province
ZIP/Postal Code
Country
Nursery Details
Years in Business
Specialties (e.g., succulents, trees, flowers)
Brief Description
Licensing & Certification
Nursery License Number
Relevant Certifications
Additional Information
Additional Notes