Wholesaler Membership Application

WF&FSA wholesale members shall be any proprietorship, partnership, or corporation, which meets
the following membership qualifications:
1. A “floral wholesale distributor” is defined as an entity which conducts a wholesale commission and/or wholesale business in fresh flowers, greens, plants and/or florist supplies. The applicant firm has continuously functioned as such for at least one year immediately preceding the date of the application. YES NO
2. 51% or more of its total sales in any year must be attributable to “wholesale sales,” which are defined as sales made to other than end-users. YES NO
3. Not more than 49% of total sales of the applicant firm may be to retail establishments owned or controlled, directly or indirectly, by the applicant firm, or by any officer, director, partner, shareholder or proprietor of the applicant firm. YES NO
4. The applicant firm must have annual sales volume of at least $250,000. If any separate retail establishments are owned, controlled* (directly or indirectly), or operated by any officer, director, partner, shareholder or proprietor of the wholesale distributor firm, then separate warehouse facilities and records must be maintained. If a company conducts both “wholesale” and “retail” sales in a single salesroom and/or from a single warehouse facility, then at least 75% of total sales made in or from such facility must be at wholesale. YES NO
*”Controlled” shall be deemed to include any kind of control, direct or indirect, whether legally enforceable and
however exercisable or exercised.

Company:
Address:
Address:
City:
State:
Zip:
Nation:
Business Phone:
Business Fax:
Company Email:
Website:
Key Contact Employee:
Key Contact Email:
Our firm is a:: Proprietorship Partnership
  Corporation LLC

Primary Business Orientation: Fresh Products only Floral Supplies only Combination
Years Company Founded:
Annual Sales are in excess of $500,000 Yes or No
Company Description:
Trade References – wholesale firms and/or suppliers with whom you conduct business with on a regular
basis:
1. Firm Name:
City/State:
Phone Number:
2. Firm Name:
City/State:
Phone Number:
3. Firm Name:
City/State:
Phone Number:

Please list any employee contacts you would like to receive communications from WF&FSA.
Employee :
Email Address:
Title:
Employee :
Email Address:
Title:
Employee :
Email Address:
Title:
Dues payments: Dues are based on annual sales volume and cover membership in WF&FSA for the period: Jan. 1 to Dec. 31. A full year dues are owed once the application is approved.
$4,999,999 or Under in annual sales - Annual dues are $625
$5,000,000 - $9,999,999 in annual sales - Annual dues are $1265
$10,000,000 - $24,999,999 in annual sales - Annual dues are $1900
$25,000,000 - $49,999,999 in annual sales - Annual dues are $2250
$50,000,000 - $74,999,999 in annual sales - Annual dues are $2500
$75,000,000 - $99,999,999 in annual sales - Annual dues are $2750
$100,000,000 and Over in annual sales - Annual dues are $3000
Please note your WF&FSA membership is provisional until voted on by the full WF&FSA board of directors, traditionally occurring each month. If for whatever reason WF&FSA’s board decided to rescind your membership, you will be contacted and your membership fee returned in full.
   - denotes required fields