Customer application

Comercial references3 references

Dear customer, in this section of the form, we kindly request at least three commercial references from other floricultural farms with which you have a business relationship. We apologize for any inconvenience this may cause, but this information is essential to establish a long-lasting business relationship based on trust and evaluate the possibility of granting credit to your account.

Commercial Reference No. 1

Enter the name of the flower farm*

Farm

Full name of the contact person*

Name

Contact person's phone number*

Phone number

Email address of the contact person*

Email Address

Commercial Reference No. 2

Enter the name of the flower farm*

Farm

Full name of the contact person*

Name

Contact person's phone number*

Phone number

Email address of the contact person*

Email Address

Commercial Reference No. 3

Enter the name of the flower farm*

Farm

Full name of the contact person*

Name

Contact person's phone number*

Phone number

Email address of the contact person*

Email Address

Contact Information

Buyer's Information:

Buyer's First Name:*

Name

Buyer's Last Name:*

Last Name

Buyer's Landline Phone:*

Phone

Buyer's Mobile Phone or WhatsApp:*

Mobile Phone

Buyer's Email:*

Buyer's Skype Account*

Please enter your personal skype

Treasury Information:

Treasury Manager's Name:*

Name

Treasury Manager's Last Name:*

Last Name

Treasury Manager's Landline Phone:*

Phone

Mobile Phone or WhatsApp:*

Mobile Phone

Treasury Manager's Email:*

Treasury Manager's Skype Account:

Please enter your personal skype

Payments

Choose the preferred payment method:*

By check

By bank transfer

Money transfer

Others

Write here

Bank Reference

	Bank	Bank account number
	Bank	Bank account number
1	Bank	Bank account number
2	Bank	Bank account number
3	Bank	Bank account number

Authorization

By signing this document, I authorize the sales team of Santino Flowers to verify the information provided in this form. Furthermore, I confirm that I have read and accepted the privacy policy and sales policies of Santino Flowers. I understand and agree that my IP address will be logged on the servers of Santino Flowers for security and compliance purposes.

No Yes

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Company information

Comercial references3 references

Commercial Reference No. 1

Commercial Reference No. 2

Commercial Reference No. 3

Contact Information

Buyer's Information:

Treasury Information:

Payments

Bank Reference

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