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PRDSP1
Customer Request
Page Content
Region
select
North America
United Kingdom
Other
I am a customer and want to request catalogs.
I am a customer but forgot my customer number.
I am not yet a customer but I would like to get catalogs.
I am not yet a customer but I am ready to place an immediate order.
Please note: To become a customer you must be in the professional horticultural industry.
If you are a home gardener, please look for a garden shop near you to buy seeds and plants in
home garden friendly sizes and quantities.
In the US and Canada you can also visit Burpee.com.
Catalogs Requested
Ball Seed: Seed/Plugs
Ball Floraplant: URC/Liners
Ball Garden Mums: URC/Liners
Burpee Home Gardens
Darwin Perennials: Bare Root
Darwin Perennials: URC/Liners
Flourish - for Independent Garden Centers
Selecta Geranium ＆ Spring Plants: URC/Liners
Selecta Poinsettias: URC/Liners
Thrive - for Landscapers
Other
Business & Contact Information
Name of Business
*
Job Title
Title
select
Dr
Miss
Mr
Mrs
Ms
First Name
*
Last Name
*
Phone Number
*
Mobile Number
Fax Number
Email Address
*
Business Address
*
City
*
State/Province
*
Zip/Postal Code
*
Country
*
Nature of Business
*
Botanical Garden
Educational Institution/Student
Farm/Green Market
Grower/Retailer
Independent Retail Garden Center/Nursery
Landscaper
Not for Profit
Park or Government
Retail Greenhouse
Wholesale Grower
Other
Total greenhouse space
Sq Ft.
What your business sells
*
Bedding/Spring Plants
Cut Flowers
Fertilizer
Foliage
Garden Mums
Geraniums
Perennials
Poinsettias
Potted Plants
Soil
Succulents
Vegetables
Other
Input(s) Desired
Bare root
Bulbs
Liners
Plugs
Seed
Unrooted cuttings (URC)
Please share any specific reason you are contacting us today
Other comments or questions
Same as business contact
Name of person completing this form
*
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