Customer Application : Jayker Nurseries Inc

Company Name*
Email Address*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Business Cell*
Business Phone*
Business Fax

Year started business*
State of Corporation*
Have you ever filed for bankruptcy?*
- Yes
- No
When?
Bank/Branch
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Account Name
Account Number
Phone Number

Name of Nursery Related Vendors doing business with*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number

Name of Owner or Officer of your company*
*
- We do everything possible to satisfy our customer. However, we cannot be held responsible for disasters beyond our control. All claims must be made in writing to seller within 5 days after receiving plants for claims of incorrect counts, sizes, or variety and within 30 days for claims for mortality. Plants become the property of the buyer upon delivery to the carrier.