Be A Wholesaler

Would you like to become a wholesaler? Wholesalers will receive wholesale prices and access to our Wholesaler only web site. Simply complete the form below to gain access to our wholesale prices, product availabilty, and our specials. We will contact you upon approval of your request and will assign you a userid and password at that time. You can also contact us via email at sales@bluebirdnursery.com

Company Name:
Owner Name:
Contact First Name:
Contact Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Shipping Address 1:
Shipping Address 2:
Shipping City:
Shipping State:
Shipping Zip:
Shipping Country:
Phone:
Fax:
Email:
Sales Tax ID:
State Nursery Dealer License #:
NOTE: * Some states require us to keep a copy of your Nursery Dealers' License on file. We may require you to fax a copy to us.
Business Type:
Referred By:
NOTE: Bold fields are required.