Catalog Request Form

Request for Poplar Farms
 Wholesale Catalog

Please complete the form in it's ENTIRETY. A representative from Poplar Farms, Inc.
will VERIFY the information submitted prior to sending a catalog.

Poplar Farms ONLY sells to companies engaged in buying nursery products for the purpose of re-selling to retail customers therefore, we DO NOT send catalogs to non-nursery related firms.

WE DO NOT SELL DIRECTLY TO NOR SEND CATALOGS TO RETAIL CUSTOMERS

You are REQUIRED to submit a FEIN Number with this request form.

Incomplete forms or requests that do not include a valid FEIN number will be disregarded.

ALL SPECIFIC INQUIRIES REGARDING CURRENTLY AVAILABLE STOCK SHOULD BE DIRECTED TO OUR WATERMAN OFFICE VIA PHONE OR FAX FOR IMMEDIATE ATTENTION!!

Phone: (815) 264-8877
Fax: (815) 264-8866

Company Name:

Contact Name:

E-Mail Address:

Mailing Address:

City:

State/Province:

Zip Code:

FEIN Number:

Business Telephone:

Business Description:

By submitting this form, you are hereby acknowledging  that the above information is
 correct AND that your company is in the business of buying nursery products for the
 purpose of RE-SELLING to retail customers.

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