LatinFlor "Just the Best" Flowers from Ecuador

COMPANY INFORMATION
	Company:
	Sales Contact:
	Accounting Contact:
	Address:
	Country,State/Prov,City:
	Telephone1:		Fax:
	Telephone2:		E-mail:
	Home Page (URL):
	Check one:	Partnership Corporation Propriertorship
	Year Established:		Sales Tax ID No:
	Yearly sales:

I. OWNERS/PRINCIPLES
	Name:		Name:
	Soc.Sec.#:		Soc.Sec.#:
	Address:		Address:
	City,State,Zip:		City,State,Zip:
	Telephone:		Telephone:

II. TRADE REFERENCES/CUT FLOWERS SUPPLIERS
1. Company Name:		Telephone:
Contact:		FAX:
2. Company Name:		Telephone:
Contact:		FAX:
3. Company Name:		Telephone:
Contact:		FAX:

III. BANK REFERENCE
	Bank Name:
	Address:
	City,State,Zip:
	Officer:		Account No:
	Telephone:		FAX:

SHIPPING INFORMATION
Shipping Method:
	Agency Address Telephone
Shipping Address:
	Country State/Province City Address Zip

PAYMENT INFORMATION
Line of Credit :		Credit Days:

Developed by