Amplex is a wholesale nursery that exclusively serves registered customers. To become an Amplex customer, your business must operate within the landscape, horticultural, local government, or retail nursery sectors.

To become an Amplex customer, please complete the form below and include all required attachments. Alternatively, you can download the PDF provided and fax or email it to 727-572-4334 or AR@aboutamplex.com.

If you have questions regarding the new customer application, please call 800-565-2928

New Customer Application

Customer Information

Name:*
Customer ID:
Email Address:*
Phone:
Company Address:
City:
State:
Zip:

Project Information

Project Name:
Project Start Date:
Project Location:
Quote Needed By:
Attach Plant List: (optional)
Preferred Sales Person:
Comments and/or Plant List:
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