Commercial/Business Cash Account Application

A cash account allows you to pay for your products when you arrive to pick up the supplies from a Growers Supply Co. location. This account also allows you to visit any of the Growers Supply Co. locations and buy directly from the store. A cash account’s balance must always be paid in full, upon the collection of your supplies.

*Proof of business must be provided, before your application can be processed*

This form must be completed in full.

General Business Information

Business Name

Owner's Name *

First

Last

Owner's Name (secondary)

First

Last

Business Tax Exempt # *

Business Tax Exemption Certificate *

Click or drag a file to this area to upload.

Applicators Licence #

Proof of Business Licence *

Click or drag a file to this area to upload.

Business Mailing Address

Business Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Business Delivery Address

(if different from mailing address)

Business Delivery Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Contact Information

Position Title *

Phone *

Cell Phone *

Fax

Email *

Type of Business *

Applicator's #

Type

Expiry Date

Additional Contacts (if applicable)

Name

Phone

Cell Phone

Fax

Relationship to account holder

Position title

Agreement

Signature *

Title *

Date *