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Retail On-Line Ordering
ROLO Registration Request
   
   
All requests must be approved by the Participating Distributor(s).
   
Business Name:
Business Type:
Shipping Address:
City, State, Zip:
Mailing Address: Same as Shipping
City, State, Zip:
Email Address:
Phone Number:
Contact Name:
Job Title:
Website Address:
Years in Business:
Do you currently use Syndicate Product?
Are you affiliated with any of the following?
Check all That Apply		 1-800 Flowers
FTD
Teleflora
You must choose a distributor within your general marketing area.
Select Your Participating Distributor(s)
Selection Distributor
1st
2nd
3rd