Contact Flowers Central

Any Questions? We've got answers! We invite you to complete our new Customer Profile form below and submit it to Flowers Central for prompt response to your inquiries. If you prefer, you may print this form after completion and fax or mail us your requests. You will be assigned a Personal Service Representative who will process your submittal and contact you promptly if you so desire. *Price quotes will not be faxed or e-mailed without prior verbal consent to insure complete confidentially of the information to be remitted.

Your Name:
Business Name:
Street Address:
City:	State: Zip Code:
Daytime Telephone:
Evening Telephone:
E-Mail:
Fax:
Best time to call?	Days? Evenings?
Primary Business:
Number of Locations:
Year Established:
Would you like a Sales Rep to contact you?	Yes No
Are you interested in opening an account?	Yes No
Interested in our Specials?	Yes No
Please use the area below to relate any pertinent information or comments that have not already been addressed.