Please fill out the following form and then press the 'Submit' button to submit it to the administrator for verification which may take a couple days. All boxes need to be entered except for email and phone number. Business Name: Operator Name: Location: Province: Production Type: Bedding Plant Producer Follage Producer Greenhouse Supplies Hanging Basket Plug Producer Seasonal Crops Tree Seedlings Vegetable Classification Type: Allied Trades Retail Sales Wholesale Contact Phone #: () - Cell. #: () - Fax #: () - Email: @

	3085 Albert Street, Regina, Saskatchewan, Canada S4S 0B1 Phone: (306) 787-5140 © 2001 Saskatchewan Agriculture and Food.