Little Valley Wholesale Nursery

Little Valley Wholesale Nursery is a WHOLESALE nursery. To qualify as a wholesale customer, your business must be generally related to the horticultural industry, a development company, government agency, or construction firm that installs landscaping. Little Valley Wholesale Nursery reserves the right to qualify a customer based on the plant related nature of the business you are in.

Account Type

Existing Little Valley Customer
New Little Valley Customer (Account Setup confirmation will be emailed within one business day)

Company Name

Email Address

Confirm Email Address

Requested Username

Requested Password

Confirm Password

Customer Number

For existing customers only.

The following information is required only for New Little Valley Customer Accounts

BILLING ADDRESS

Address

City

State

Zip

SHIPPING ADDRESS

Address

City

State

Zip

Owner's Name

Sales Contact

Sales Phone

Accts Payable Contact

Accts Payable Phone

Fax Number

Mobile Number

Does your company require purchase orders Yes No

Would you like to receive our mailings Yes No

Type of Business

Do you have a Colorado State Tax License? No Yes

State Tax Exempt Number

Colorado Home Rule Cities Sales Tax Licenses (These are needed if deliveries are made into any of the 66 Colorado Home Rule Cities)
Provide copy of license all licenses.

City		Lic Num
City		Lic Num
City		Lic Num
City		Lic Num

Nursery License # What is this?

Is your company a corporation No Yes

Federal Tax Number

Comments

Signature (Type your name)

Title

By submitting this application, I understand that by providing my fax number(s), email address(es) and other identification of any means of electronic transmission shown above, on behalf of my company or organization, I am authorized and hereby consent for the company/organization to receive faxes, emails and other means of electronic transmission sent by or on behalf of Little Valley Wholesale Nursery (LVWN).

If you prefer to print out this form and mail or fax to Little Valley Click Here to download in PDF format.

Member Log In

Account Setup

Account Type

The following information is required only for New Little Valley Customer Accounts

BILLING ADDRESS

SHIPPING ADDRESS

Comments