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

Business Name
Mailing Address
City
State
Zip
Shipping Address
City
State
Zip
Phone
Fax
After Hours Phone
Additional Phone Numbers
Purchasing Email
Finance Email
Federal ID Number
Sales Tax Exempt
Trade1
Trade2
Trade3
Driver License Copy
Business License
Sales Tax Exemption Certificate if applicable
How did you hear about us
Owners Printed Name
Date
amplex