Contractor Applications

Patuxent Wholesale Landscape Contractor Application

Thank you for your interest in becoming a Patuxent Nursery Wholesale Contractor. Please download the Wholesale Membership Application by clicking the button below. Once the application has been completed and returned, our Contractor Department will contact you pertaining to the status of your request.

Download Wholesale Application

What does a Patuxent Nursery Wholesale Contractor Membership entail?

Click here to read about our Wholesale Program.

Return your completed form

Mail:
Patuxent Nursery Contractor Sales
2410 North Crain Highway, Bowie, MD 20716

Fax: 301-218-5120

Email: contractor@patuxentnursery.com

Online application

Please use the application below for online submission.

Please note: You must be a Patuxent Nursery registered contractor to have credit.

Contractor Application

Applicant: By filling out and signing this application, you are applying for a Patuxent Nursery Corporate Wholesale Account. By completing this online application, you agree that all information is true and complete, and that Patuxent Nursery is responsible for determining membership eligibility.

You do not need to apply for credit to be a wholesale member, but you do need to be a wholesale member to have credit. Visit the Patuxent Nursery website to complete the Cooperate Credit Application.

General Information

Company Name

D/B/A

Type of Business

Federal Tax ID

Phone Number

Fax Number

Address

City

State/Province

Zip/Postal

Background Information

Date Established

How Long in Business?

ex: 0 years, 4 months

Estimated Annual Sales

Number of Employees

Sales Area

Does your State, County, or City require a License?

Yes

License Number

Ownership

Sole Proprietorship

Partnership

Corporation

Principal Information

Name

Title

Phone

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Before Submitting

Please double-check the information you've entered above and ensure it is accurate. By submitting this form, you agree that all information is true and complete, and that Patuxent Nursery is responsible for determining membership eligibility.

Please contact us to request a Corporate Credit Application.

Signature

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