Credit Terms & Payment Information

NEW CUSTOMER INFORMATION

Company Name:
Contact Name(s):
Phone: / Fax:
*Email:
Shipping Address:
City: / State: / Zip:
Billing
Address:
City: / State: / Zip:
Please attach a copy of your current Colorado Sales Tax License.

*Optional Fields

CREDIT TERMS & PAYMENT INFORMATION

§  Credit terms for all new customers are COD for the first two years.

§  We do not accept credit cards. Check or cash only please.

§  $25 returned check fee.

CONSENT

As of July 1, 2005 in order to comply with Federal Communications Commission (FCC) regulations, Brown's Greenhouse must have your prior written consent to legally send you a fax/email that has to do with pricing, availability, or the quality of our products, even if it is verbally requested. This would include any weekly availability lists, copies of invoices, future price lists, etc. If you would like to receive information from us, on a requested basis only, please check the appropriate box below and sign.

I understand that by checking this box and signing below, I am giving consent on behalf of the company specified above, to receive faxes/emails sent to the information listed above by or on behalf of Brown's Greenhouse.

I do not wish to receive faxes/emails from Brown's Greenhouse I understand that by checking this box I will not be able to verbally request a fax in the future.

Signature: / Date:
Title: