Retail Signup with Everflora Chicago
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Name of Business:
  *
Number of Employees:
Please select an item.
Annual Sales:
Please select an item.
Gift Policy:
Business Phone:
  *
Website URL:
Type of Business:
Establishment Date:
Please select an item.
Please select an item.
I am affiliated with: 
1-800 Flowers
FTD
Teleflora
First Name:
  *
Last Name:
  *
Phone Number:
Cell Number:
E-mail Address:
  *
Confirm:
  *
Job Title:
  *
Fax Number:


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Syndicate Sales, Inc. will not share or sell your information including your e-mail.

Shipping / Street Address
Address:
  *
City:
  *
State:
  *
Zip Code:
  *
ex. 12345 / A1A 1A1
Mailing Address    Same As Shipping
Address:
  *
 
City:
  *
State:
  *
Zip Code:
  *
ex. 12345 / A1A 1A1

Your chosen Distributor(s) must be within your general market area.





* Denotes A Required Field

A follow-up from a Syndicate Stars team member is requested