First Name *
Last Name *
Email Address *
Phone Number *
Company *
Address *
City *
State *
Zip *
I would like to receive emails for Landscape Professionals
Remember to check your Spam / Junk mail folders if you don't see our response!
Legal Name of Business *
Date
Mailing Address (if different from above)
Purchasing Contact *
Cell *
Purchasing E-Mail *
Accounts Payable Contact
Ext.
Office Telephone
Office fax
Type of Business *
Years in Business *
PO Required? * YesNo
Resale/Tax Exempt #
Payment * CashCompany CheckCharge Card
Tax Exempt Certificate
(A copy of your certificate must be on file before tax exempt status is granted)
Ownership * ProprietorshipPartnershipCorporationGovernment
Name of Principal Officer *
Title *
Please Note: NSF checks will have a $25.00 service charge added and your check writing privilege will be revoked.
Company
Contact
Type of Business
Address
Phone
City
State
Zip
Fax
Download the required forms and fill them out. Once you’ve filled out the forms send them to [email protected] or bring them to your local Lurvey location. Please let us know if you have any questions or comments.
Wholesale Purchase Agreement
Credit Application & Agreement
Weekly Terms Agreement