Floral Supplier:Surplus/End-of-Market Cut Flowers          
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Name of business? *
Name of contact person? *
Contact number? *
Contact e-mail: *
Hours of operation? *
What day(s) of the week would be best for pick-up? *
Number/kind of cut flowers? *
Are there any other desired donations?
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Are you a supplier to other similar “recovery” organizations/businesses?
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Questions/comments (other pertinent information)?
Would you like to join our mailing list?
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How did you find out about Plants and Blooms ReImagined?
Please, if applicable, check the referral box AND write the referral name on the "other" line.
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