Become a Customer

Get Started is Easy with our Three Steps

In order to open an account with us, you must have a floral business with a tax ID number.

You will need to follow the three steps below and fill out each form.

Please take the time to review our Terms and Conditions.

If you have any questions, please call 800.659.ROSE to speak to our Credit Manager.

Mail to:
Len Busch Roses, Attn: Credit Manager, 4045 County Road 101 North, Plymouth MN 55446

Fax to:
763-478-6009

Business Name*
Phone*
Fax
DBA
Email*
Store Address*
Street Address City State ZIP Code
Type of Business
Year Established
Owner's Name
Home Phone
Owner's Home Address*
Street Address City State ZIP Code
Account's Payable Contact
Account's Payable Phone
What is your Business Legal Status?*
Federal Tax ID or SSN:
Do you own more than one shop?*
- Yes
- No
Names and Locations
Have you purchased from us before?*
- Yes
- No
IF so, under what name?
Credit Information
Estimated Monthly Purchases:
Please list dollar amount.
Have you filed bankruptcy in the last seven years?*
- Yes
- No
IF so, what year?
Trade References
Name
Account #
Phone
Name
Account #
Phone
Name
Account #
Phone
Bank Reference
Name
Account #
Location
*
I agree.
I the applicant and undersigned, agree that in consideration for establishing an account, all charges will be paid in full within the terms of sales. I have read and agree to the published terms and conditions and agree to pay all costs of collection and litigation. The above information, as well as any information submitted for purposes of establishing an account and requesting credit, is true and complete. I authorize you to verify and collect information on me and my business, including but not limited to bank references, trade references and commercial credit reports.
Signature*
Title*
Date*
Date Format: MM slash DD slash YYYY