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Millican Nurseries, LLC

Customer Application

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By becoming a customer, you understand and agree that Millican Nurseries LLC is granted permission to use your contact information for our own marketing purposes, including for sending email advertisements if you have provided an email address.You may opt out of electronic communications at any time by indicating your preference in writing: You may opt out at MNISales@MNIPlants.com

Required fields are marked with an asterisk *.

*Company Name :
*Business Address 1 :
Business Address 2 :
City :
State :
Zip :
*Phone : () - x
Fax : () -
Cell : () -
*Email :
*Principal / Owner / Contact Name :
*Type of Business :
*Fed Tax ID # :
*State Registration # :
 

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